Digital Subtraction Myelogram

Your physician has ordered a DS myelogram for you. A DS myelogram is usually performed in order to diagnose a cerebral spinal fluid leak. 

  • You will receive a call the evening before your appointment with instructions and check-in time.
  • Please check in at: South Tower - Street Level, Information Desk (8700 Gracie Allen Drive)
  • If you need to reschedule or have any questions, please call (310) 423-4125.

One week before your procedure:

  • You will need to stop taking anticoagulants. Please inform your physician. The following time frames should be followed:
  • Motrin, ASA (Aspirin) and nonsteroidal anti-inflammatory drugs (NSAIDS) stop 7 days
  • before your myelogram
  • Coumadin 5 to 7 days before (please consult your imaging physician)
  • Plavix 7 days before
  • Lovenox 24 hours before
  • Heparin 4 hours before
  • Notify your doctor if you have a contrast allergy (iodine); you must be premedicated before the procedure.
  • Verify with your doctor that you have completed all your lab work, physical & if needed an   EKG and/or chest x-ray.

48 hours before you procedure:

  • A Keppra premedication prescription is required from your physician; take as directed.
  • Any psychological drugs such as antidepressants or MAO inhibitors, will need to be stopped 48 hours before and 24 hours after the study. If you have any concerns please contact your referring physician.
  • Please discuss with your physician before making any changes to your medication regimen.

24 hours before your procedure we require your physician send these results:

  • Lab work: CBC with platelet count, PT/PTT & BMP done within 2 weeks of your procedure.
  • EKG if older than 45; chest x-ray if cardiopulmonary disease.
  • History and physical completed by your primary doctor within 30 days of your procedure.

The night before your procedure:

  • Do not eat or drink after midnight.
  • Take any pre-medications as prescribed by your doctor.

Morning of your procedure:

  • Take blood pressure and/or heart medications with a sip of water unless told otherwise.
  • Please do NOT take diabetic medications in the morning.
  • Please bring a list of medications you are currently taking to your appointment.
  • We want to make your waiting time as pleasant as possible. Consider bringing your favorite magazine, book or music player to help you pass the time.
  • Please wear comfortable clothing.
  • A computed tomography (CT) scan or magnetic resonance image (MRI) or both may be taken after your myelogram. Due to scheduling, these scans may not happen immediately after a myelogram. You may have to wait anywhere from a few minutes to a couple of hours.
  • You will NOT be allowed to drive after your procedure so please arrange transportation.  If you need a medical or transport van, you must also have someone accompany you.