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Tuesday, January 06, 2009 please help me asks

Q: anyone ever have a spinal tap to diagnose your headache or make them bettere

i went to the er for a migraine, 4 different pain meds did not even touch the pain,the er doc suggested getting a spinal tap, to see what the probloem is, well my dr. today told me today that that was crazy, anyone ever had one done to diagonose your headaches or help them

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Answers (10)
Nancy Harris Bonk, Health Guide
1/ 6/09 9:35pm

Hi,

 

Spinal taps are used to diagnosed a condition called formerly called Psdeudotumor Cerebri, now called Idiopathic Intracranial Hypertension, IIH. With IIH, one of the symptoms is intractable headaches, or headaches that haven't responded to medications. In fact the only definitive way to diagnose IIH is with a spinal tap. For more information on IIH, click HERE.   Another interesting article on the same topic is this one: The ONLY definitive way to diagnose pseudotumor cerebri.

 

It may be time to see a new doctor. We have a quiz that may help you decide. Is Your Doctor Right For You?  If someone has more than three Migraine attacks a month, it is time to talk to your doctor (maybe a new one!) about Migraine prevention medication. Not abortive medication that stops a Migraine, or rescue medication, used when abortives fail or can't be used, but preventives to reduce the frequency and severity of the Migraine attack. This article explains this difference and may be very helpful: Preventive, Abortive, and Rescue Medications - What's the Difference? 

Good luck

Nancy

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1/ 8/09 4:12am

Regretfully I have been subjected to a lp, lumbar puncture, more than once in my 30 odd years of migraines.  (They started about age 12 on me)  Mainly, since I grew up in south Florida, it was to rule out meningitis, etc.

 

They can be useful at times for diagnosing mystery migraines.  And if you tried 4 different pain meds I would understand him the doc wanting to do an LP on you.

 

hth

Raven

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1/ 8/09 8:48am

Some years ago I had an intractable migraine that had incapacitated me for three months.  To rule out Pseudotumour Cerebri my neurologist did a spinal tap.  Due to very narrow spacing of my vertebrae, it was an excruciating experience and I still suffer from back problems as a result.  It did rule out Pseudotumour Cerebri, and we still don't know what caused the migraine.  It finally gradually disappeared a month later.

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1/ 8/09 9:15am
Yes, back in the early 70's- 80's when testing wasn't quite as sophisticated as it is now, spinal taps were used to determine if there was unusual pressure on the brain/spinal cord. In my case, it always revealed increased pressure due to swelling from inflamation on the surface of the brain. Reply
1/ 8/09 10:16am

Yes, when I was taken to ER a couple years ago now.  They did a CAT scan, spinal tap and something else I can't remember right now.  But I did remember whatever  the drug was they gave me, put a very wide space between the pain and me.  I could actually think while in migraine!  It might sound odd, but the pain didn't go away, but it was like suddenly someone had put up a wall between me and the most excruciating migraine I'd ever had.  Still lost part of a favorite earring that I haven't been able to find that day.

 

Hope this helps.

twyxt

 

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1/ 8/09 12:56pm

Yes I was tested for Spinal Meningitis when my "headache" would not go away. Having a severe headaches is one of the signs of Meningitis. My test was negative, and I was then diagnosed with migraines, and prescribed Imitrex, problem solved :) Sorta LOL!

Good Luck and God Bless....

 

"The possibility of spinal meningitis is taken very seriously, and a physician will first order a lumbar puncture (spinal tap) so that he can microscopically examine cerebrospinal fluid for a complete blood count with differential. He will also perform a chemical analysis and bacterial cultures.

Because spinal meningitis affects the brain as well as the spinal cord, neurological defects are common. If there is any sign of intracranial pressure, the physician will order a CT scan of the cranium to try and locate any points of brain herniation or brain damage.

In all cases of spinal meningitis, the patient must be hospitalized for close observation and to administer medication. For bacterial meningitis, antibiotics will be given orally at first, and then delivered intraveinously until the worst of the
symptoms pass. Antibiotics will be given even more regularly if there is a possibility of intracranial pressure from the swelling of tissues"

 

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1/ 8/09 8:49pm

Hello...

 

I've never had migraines for over 40 years and that diagnostic technique has never been suggested to me.  Personally, I would do LOTS of research before going through this procedure.

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1/ 9/09 1:20am

My daughter had a spinal tap done at 16.  She had a severe headache attack and severe vomitting.  It turned out that she had Viral Meningitis with a touch of

encephalitis. To this day, she gets Migraines.  She is now 37.

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1/13/09 1:38pm

I have suffered migraines my entire life.  In the mid 80's, I had such a horrible one that they did a CT scan, MRI and spinal tap to rule out all sorts of stuff including tumors.  In my case, the spinal tap did not reveal any issues.  To this day, more than 20 years later, I still have issues with the area of my back where they did the spinal tap.  If there is no other option, then maybe.  If they have any other options first, I would exhaust all other possibilities first.

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2/16/11 5:46am

i am 35 yrs old when i was 32 i was diagnosed with valley fever and spinal meningitis  to releive the pressure from my braini have to get a spinal tap once a month i  also had a shunt put in my brain that goes down into my stomach i had one in my spine but it failed so they put it in my brain the first one also failed so i had it done again after about a yr it worked its way out of my stomach and i began to have seizures not grand mall seizures but just minor ones where my lip would sag and i would drool a little bit so i take meds that stopped the seizures i had surgery on my spinal cord to clean the cocci from inside my spine i probably have had about 30 lp's done so far and i have to get them for the rest of my life i was using a walker and back to a wheelchair then back to a walker and now back to a wheelchair but have faith that i will walk again maybe with a cane but its like 1 step forward 2 steps back i have the meningitis controled so im dealin with the damage already done to my spine but please dont be scared of the spinal tap it only hurts for a min. it just seems like forever when its being done i have a good dr that does maybe 10-15 a day so that helps!!

 

 

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By please help me— Last Modified: 02/16/11, First Published: 01/06/09