Viewing 6 posts - 1 through 6 (of 7 total)
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  • Shaunbarc
    Participant
    Post count: 4

    I had a lumbar puncture at the L5-S1 level on June 22, 2021 under fluoroscopy for chronic headache and post covid vaccine reaction neurological symptoms. There was only one attempt and CSF was collected. During the procedure I felt some mild discomfort/pressure in right buttock for few seconds. Otherwise the procedure was uneventful. About 10 minutes after I felt some tingling in my right groin, thigh and right lower leg. The symptoms continue. I have significant lower back pathology and residual S1 nerve root numbness – mostly lateral right foot. This procedure seems to have exacerbated my current symptoms and added on new symptoms. The discomfort runs from right groin into right thigh. The S1 symptoms are predominantly behind my right knee and down the lateral side of lower leg. I am worried this is permanent damage, which surprised me since I did not think such varied damage could be done by such a small needle. I had an MRI done, but no one seems to be able to explain what I am experiencing, why, and for how long. MRI impression: L3-4 grade 1 degenerative retrolisthesis with a disc bulge, small central disc herniation and annular fissure contacts both
    descending L4 nerve roots, unchanged.
    L4-5 interval right hemilaminectomy with a grade 1 degenerative anterolisthesis, disc bulge, small right foraminal disc
    herniation, osteophytic ridge, severe facet arthropathy and a new 1.0 cm right dorsolateral canal facet joint synovial cyst
    compresses both descending L5 nerve roots (right greater than left) and impinges the exiting right L4 nerve root. The right
    facet joint synovial cyst is new since the prior study.
    L5-S1 remote right hemilaminotomy with a postoperative scar in the right lateral recess impinging the descending right S1
    nerve root, unchanged. A disc bulge, osteophytic ridge and facet arthropathy impinges the exiting right L5 nerve root,
    unchanged.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    Well, you do have 3 level degenerative disc disease with slips at L3-4 and L4-5 with prior surgery at L4-S1. It certainly could have been a CSF puncture at L4-5 if the physician did not use fluoroscopy as your new sympotoms could be from the L4 root whic is compromised accounding to your MRI report (“L3-4 grade 1 degenerative retrolisthesis with a disc bulge, small central disc herniation and annular fissure contacts both descending L4 nerve roots”.

    A CSF puncture can affect the roots. You are only 10 days out from the puncture so I would give this a total of 6 weeks. Having an MRI after symptoms occurred was a good idea and helps to put the chance of potential complications to rest.

    Dr. Corenman

    Shaunbarc
    Participant
    Post count: 4

    Are able to view these MRI images?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    You cannot put hyperlinke on this site due to anonymity and virus precautions. Please simply copy and paste your MRI written report here.

    Dr, Corenman

    Shaunbarc
    Participant
    Post count: 4

    I was looking for someone to look at the images to better explain my post lumbar puncture symptoms.

    Shaunbarc
    Participant
    Post count: 4

    I am concerned this could have caused a gradual CES

Viewing 6 posts - 1 through 6 (of 7 total)
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