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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Mylogram Necessary For Mild Headaches Due To Spontaneous Intracranial Hypotension?

I have spontaneous intracranial hypotension which has not responded to three blood patches. My neurologist says to do a mylogram. The radiologist says it s actually quite invasive, and he would not recommend it unless my headaches are quite debilitating. My headaches are mild but occur daily and affect my quality of life. Suggestions?
Thu, 4 Sep 2014
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Radiologist,  's  Response
Hi,
Thanks for writing in.

Myelogram is the study of the spinal cord by injecting a contrast in to the spinal canal and taking pictures. Presently there are better less invasive methods using MRI to study the spinal cord in a better way. You may discuss this point with your neurologist or have the radiologist discuss it. I think a detailed MRI is needed for you which is a very simple procedure. The MRI must include the brain and spine to look for any blocks to the passage of fluid in the ventricles of brain through the spinal canal.
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Is Mylogram Necessary For Mild Headaches Due To Spontaneous Intracranial Hypotension?

Hi, Thanks for writing in. Myelogram is the study of the spinal cord by injecting a contrast in to the spinal canal and taking pictures. Presently there are better less invasive methods using MRI to study the spinal cord in a better way. You may discuss this point with your neurologist or have the radiologist discuss it. I think a detailed MRI is needed for you which is a very simple procedure. The MRI must include the brain and spine to look for any blocks to the passage of fluid in the ventricles of brain through the spinal canal.