What is
a Myelogram? |
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A
myelogram is an x-ray study in which special dye is injected into
the spinal fluid surrounding the spinal cord. The spinal cord
is not visible on a normal x-ray. Injection of this dye outlines
the spinal cord, and makes it visible on the the x-ray. The injection
of this dye into the spinal fluid may be done in the neck area
(cisternal myelogram) or in the lower back area (lumbar myelogram).
Just before the dye is injected, a sample of spinal fluid is collected
from the patient and is submitted to the laboratory for analysis.
A myelogram is a difficult and very delicate diagnostic procedure,
and ideally should be done by a veterinary specialist. General
anesthesia is required for the procedure. |
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Radiograph
(x-ray) of a dog's spine and part of a lumbar myelogram. The dog
is lying on its side, with the head facing the left. The top image
is a plain radiograph, the bottom image is the myelogram. The
white arrow is pointing at the spinal needle, which is injecting
the white contrast material, outlining the spinal cord. This part
of the myelogram is normal. |
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A
myelogram is a diagnostic procedure indicated when a patient has
signs of a spinal cord problem such as difficulty walking, or
neck or back pain. While a myelogram is an essential diagnostic
step in determining the cause of a spinal cord problem, there
are some risks associated with this diagnostic test. Myelograms
must be done with the patient anesthetized. As with any general
anesthetic, there is a very small risk of anesthetic complications,
including patient death. At the Veterinary Medical Teaching Hospital
(VMTH), the anesthesiology service anesthetizes the neurology
patients, and thus the risk of anesthetic complications is low.
For several days after a myelogram, some animals may have more
trouble walking, particularly if they had difficulty walking prior
to the myelogram. This usually resolves in a few days, but in
rare cases it may be permanent. Some animals, particularly large
dogs may seizure while recovering from a myelogram. The risk of
seizures only lasts for 24 hours after a myelogram. Very rare
complications of a myelogram include infection, allergic reactions,
and injury to the spinal cord. At the VMTH we are experienced
in doing myelograms. They are done on a daily basis and serious
complications are rare. |
Radiograph
(x-ray) of a dog's neck and part of a myelogram. The dog is lying
on its back, with the head at the top of the image. The image
on the left is a plain radiograph of the neck. The image on the
right is part of the myelogram in the same area of the neck. The
white arrow is pointing to a disc herniation compressing the spinal
cord, only visible on the myelogram. The dog recovered with surgery. |

