Maine Medical Partners Neurosurgery & Spine > Resources > Ask Our Nurses > Post Myelogram Instructions

Post Myelogram Instructions

Suggested Post Myelogram Instructions

  • Elevate head 28° 6-12 hours after myelogram.
  • Increase fluid intake.
  • 2nd day – Lay flat with bathroom privileges only.
  • 3rd day – increase activity. If headache persists, then remain on flat bed rest.
  • If positional headache persists, then consult radiologist. May offer patient a blood patch at this time.
  • If patient is vomiting and has headache, send patient to ER to be seen by radiologist for possible IV therapy, CBC, diff and possible blood patch.

Post Myelogram Instructions For Patients

  • After myelogram, elevate head 28° for 6-12 hours.
  • Increase your fluids to help move the dye out of your system.
  • On the second day, lay flat in bed, getting up for the bathroom only.
  • On the third day, you may be out of bed. If you develop a headache after being out of bed, return to bed and lay flat.
  • If a headache persists, for 2 to 3 days, contact the radiologist at the hospital.
  • If vomiting and unable to keep any liquids down, contact the radiologist at the hospital.

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“Maine is a magical place for me – my family has been here since the late 1700’s. It is a great privilege to collaborate with my partners to bring state-of-the-art neurosurgical services to the people of Maine.”

Lee L. Thibodeau, MD, Neurosurgeon