Lɛ wi lan bɔt di Cisternogram Scan: na spɛshal tɛst we de luk di wata we de flɔ insay di bren!

Adu! Tide wi go tɔk bɔt wan tɛst we kɔmplikt smɔl pan in nem, bɔt we rili impɔtant fɔ wi bren ɛn spɛshal kɔd. Dɛn kɔl dis wan Cisternogram Scan. Sɔntɛm dɔktɔ dɔn tɛl yu bɔt dis, ɔ yu dɔn yɛri bɔt am sɔmsay. So, lɛ wi si insay simpul wɔd dɛn wetin i bi, wetin mek dɛn de du am, ɛn aw dɛn de du am? Nɔ wɔri, a go ɛksplen am di we we yu go ɔndastand.

Wetin na cisternogram?

Fɔ tɔk am simpul wan, wan spɛshal wata de we tan lɛk wata we de flɔ insay wi ed ɛn along wi spɛnal kɔd. dis wata we dεn kכl di mεdikal dεm as Cerebrospinal Fluid (CSF fכ sכt). dis CSF fluid de du sεvεra rili imכtant wok dεm fכ wi bכdi.

Tink bɔt am dis we:

• dis `CSF` tan lεk pכsin we de bכn it εn drink, dat na, nyutriεnt, to wi bren εn spεnal kכd.
• dis `CSF` fluid de εp wi sεntri nεv sεstem (CNS) fכ wok fayn fayn wan.
• semweso, dis wata de εp bak fכ klin εn pul di tin dεm εn tכxin dεm we yu nכ want frכm di tisu dεm na di bren εn spεnal kכd.
• Wan ɔda impɔtant tin na dat, jɔs lɛk di tin dɛn we de absɔb na motoka, dɛn kin wok lɛk kusɛn ɛn protɛkt di bren , ɛn dis kin mek di chans fɔ mek sɔntin lɛk kɔnkyushɔn nɔ bɔku if dɛn nak wi bren sɔnsay.

So, dεn kin du dis tεst we dεn kכl cisternogram fכ chεk εksakכt if di CSF fכ fכlכ fayn fayn wan insay yu bren εn along yu spεnal kכd, if blכk de sכmsay, כ if lik de sכmsay.

Dis na rili wan kayn skan we dɛn kɔl ``Nyuklia Mɛdisin Imej''. na dat mek sכmtεm dεn kin kכl am ``Radionuclide Cisternogram.'' Wetin kin apin insay dis na we dεn kin injεkt sכm sכm rεdyuaktiv mεtirial insay yu spayna. Nɔ wɔri, i nɔ go du yu bad bad wan, dɛn jɔs de yuz am fɔ sef . na biכs fכ dis mεtirial we di dכkta kin si klia wan di rod fכ di ``CSF'' fכs we dεn de skan.

Ustɛm dɛn nid fɔ skan dis?

Naw yu kin de tink se, "Okay, so us kayn prɔblɛm pɔsin we gɛt dis kɔndishɔn go gɛt cisternogram?" Bɔku tɛm, if dɔktɔ sɔspɛkt se yu bren ɔ spɛnal kɔd de lik CSF fluid (CSF lik) (we min se di prɛshɔn pan yu bren/spaynal dɔn go dɔŋ), ɔ dis CSF fluid dɔn gɛda tumɔs, we min se i dɔn blok (we min se di prɛshɔn pan yu bren/spaynal dɔn go ɔp), den dɛn kin se dɛn fɔ du dis skan.

Si if yu gɛt dɛn sik ya bak:

• Yu kin fil lɛk se yu nɔ de balans we yu de waka?
• Bɔku tɛm yu kin fil diziz ?
• I nɔ go ebul fɔ imajinYu kin gɛt ed we de at? Yu kin fil lɛk se di pen kin wɔs we yu tinap.
• Yu fil se yu nɔ de yɛri smɔl ? Ɔ yu de yɛri sɔntin lɛk ring na yu yes?
• Yu gɛt nɔs ɛn vɔmit ?
• Yu kin fil pen na yu nɛk ɔ yu kin fil stiff?
• Yu kin fil bad bɔt brayt layt ɔ lawd nɔys?
• Yu fil se yu de gɛt prɔblɛm fɔ tink klia wan ɔ fɔ pe atɛnshɔn ? I tan lɛk se yu nɔ ebul fɔ mɛmba tin dɛn we yu de mɛmba smɔl?

If yu gɛt wan ɔ mɔ pan dɛn sik ya, yu dɔktɔ kin tink bɔt fɔ du cisternogram skan.

Aw a go rɛdi fɔ dis? Wetin a fɔ tɛl di dɔktɔ?

Bɔrku tɛm, natin nɔr de fɔ pripia fɔ di de bifo yu cisternogram skan. Bɔt sɔntɛnde, yu dɔktɔ go gi yu spɛshal instrɔkshɔn bɔt wetin fɔ it ɛn drink bifo dɛn du di skan (fɔ ɛgzampul, fɔ fast fɔ sɔm awa). Dɛn fɔ fala dɛn tin ya di rayt we.

Bɔt di tin we impɔtant pas ɔl na fɔ mek pɔsin kɛr yu go na os afta dɛn dɔn skan yu . Bikɔs sɔntɛnde yu kin fil bad smɔl afta di tɛst, lɛk ed we de at, so i nɔ fayn fɔ drayv motoka yu wan.

Wan ɔda tin, yu fɔ rili tɔk to yu dɔktɔ bɔt dɛn tin ya, we yu nɔ fɔ ayd ɛnitin :

• Yu dɔn ɛva gɛt ɛni alɛji fɔ mɛrɛsin dɛn we de mek yu nɔ fil fayn, lɛk lokal anestetik ɔ anestezi?
• If yu gɛt bɛlɛ ɔ yu kin gɛt bɛlɛ, yu fɔ rili tɛl yu dɔktɔ bikɔs dis tɛst de yuz redioaktiv tin.
• Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (nɔto jɔs di wan dɛn we yu dɔktɔ gi yu, bɔt bak di mɛrɛsin dɛn we de mek yu fil pen, vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn we yu de bay na di famasi). I impɔtant mɔ fɔ tɛl yu dɔktɔ if yu de tek mɛrɛsin dɛn we de mek yu blɔd tan lɛk aspirin ɔ warfarin. Sɔm mɛrɛsin kin mek yu gɛt mɔ blɔd. If dis apin, yu dɔktɔ kin aks yu fɔ stɔp fɔ tek dɛn sɔm dez bifo di skan.

Aw dɛn kin du dis cisternogram skan? Lɛ wi luk am smɔl mɔ.

Okay, naw mek wi si aw fɔ du dis tɛst. Nɔ wɔri, a go ɛksplen am simpul wan. Dɛn kin du am insay sɔm stɛp dɛn.

Step Wan: I tan lɛk se yu tek wan sip wata frɔm yu bak - na dat na lumbar pancture.

Di fɔs tin fɔ du na fɔ du `Spinal Tap`. Wi kin kɔl am bak `Lumbar Puncture`. Sɔm pipul kin kɔl dis bak ``tek wata frɔm di spayna.`` Bɔt na ya, dɛn nɔ de tek wata, dɛn jɔs de injɛkt da spɛshal likwid de.

Dis na wetin kin apin:

• Fɔs, dɛn go klin yu ɔnda bak, usay dɛn go put di nidul, fayn fayn wan ɛn dɛn go injɛkt yu lokal anɛstɛtik fɔ mek i nɔ gɛt bɛtɛ trɛnk . Dis go mek yu nɔ fil ɛni pen. Dɛn kin gi sɔm pipul dɛn bak wan mɛrɛsin we de mek dɛn fil fayn fɔ ɛp dɛn fɔ rilaks ɛn nɔ wɔri. Na smɔl tɛm nɔmɔ, ɛn na spɛshal kes dɛn nɔmɔ dɛn go yuz jenɛral anestetik fɔ mek dɛn nɔ gɛt bɛtɛ trɛnk.
• Dɔn dɛn go aks yu fɔ ledɔm fes dɔŋ na tebul fɔ ɛgzamin, ɔ fɔ ledɔm na yu sayd wit yu ni dɛn we dɛn drɔ te to yu chɛst, lɛk se yu kɔl . Dis kin mek yu gɛt mɔ ples bitwin yu spayna.
• Neks, di dɔktɔ kin put wan nidul we rili tan ɛn olo insay yu spayna. dis de gayd tru di vεrbra, insay di spεs usay di CSF fכluid de (dεn kכl am di subarachnoid spεs). Dɛn kin du dis bay we dɛn de yuz wan we we dɛn kɔl fluoroscopy (wan we we de mek yu ebul fɔ si layv X-ray pikchɔ dɛn). So nid nɔ de fɔ wɔri se di nidul go go na di rɔng ples.
• Na tru da nidul de dɛn kin put smɔl pan di redioaktiv tin we wi bin dɔn tɔk bɔt insay yu CSF fluid .
• We dɛn dɔn du da wok de, dɛn kin tek tɛm pul di nidul, ɛn put smɔl plasta na da say de.

Dɔn dɛn de skan

afta dεn dכn du di lכmba pankshכn εn dεn injεkt di redioaktiv mεtirial, yu nid fכ gi am sכm tεm fכ travul tru di CSF to di bren. So yu go gɛt fɔ ledɔm na bed fɔ lɛk wan awa so ɛn stil de stil as yu ebul . Sɔntɛnde, dɛn kin advays yu nɔ fɔ tɔn yu ed to di sayd.

Dɔn, bɔku tɛm bitwin wan ɛn siks awa afta dat , di dɔktɔ go bigin fɔ skan yu spayna ɛn ed. Dis de yuz spɛshal kamɛra (wan `Gamma Kamɛra`) we kin no usay di redioaktiv matirial de. dis imej dεm kin kכmכt frכm `CT skan (Computed Tomography)` כ `MRI (Magnetic Resonance Imaging`.Dis na wetin de sho klia wan di `CSF` fluid we de fכlכ tru am.

Afta di fɔs skan, yu kin go na os. Bɔt bɔku tɛm yu go gɛt fɔ kam bak na ɔspitul afta 24 awa fɔ mek dɛn skan yu ɔda skan . dis na biכs i kin tek lεk wan de fכ di redioaktiv mεtirial fכ spre כlsay na di bren (vεntrikul dεm εn sistεn dεm). Sɔm pipul dɛn kin gɛt ɔda skan afta 48 ɔ 72 awa . Yu dɔktɔ go disayd. Bɔt nɔ wɔri, yu nɔ go nid fɔ du lumbar pankchɔ bifo ɛni skan . Na di fɔs de nɔmɔ dɛn go du am.

Yu tink se i kin at we yu du dis?

Di big kweshon and frayd we plenti pipul get na "Will it hurt?". Fɔ tɔk tru, we dɛn injɛkt di lokal anestetik na yu spayna , i kin tan lɛk se yu de bɔn smɔl, ɔ lɛk se ant de bit yu fɔ sɔm sɛkɔn . Afta dat, di say go swɛt, so we dɛn put di nidul insay di lumbar pankchɔ , yu go fil smɔl prɛshɔn, bɔt nɔ rial pen nɔ de.Sɔm pipul dɛn nɔ kin fil ɛnitin atɔl.

Nɔ pen nɔ de atɔl we dɛn de du di skan. Yu jɔs gɛt fɔ ledɔm stil na di bed na di skan.

Ɛni bad bad tin dɛn de we kin apin to am?

Jɔs lɛk ɛni mɛdikal tɛst, sɔm smɔl smɔl sayd ɛfɛkt dɛn de we kin apin afta dɛn dɔn du sisternogram. Bɔt, dɛn nɔ rili siriɔs. Di sayd ɛfɛkt dɛm we kin apin pas ɔl na:

• Sɔm smɔl pen ɔ brus kin de na di say we dɛn injekt (bak) fɔ sɔm dez.
• Ed de at . εspεshali if sכm CSF lik kכmכt frכm di εria we dεn du di lכmba pankshכn (dεn kכl dis post-lכmba pankshכn ed pen כ spεnal ed pen), di prεshכn insay di ed kin dכn sכmtεm, we kin mek yu ed pen bad bad wan. Dis kin stɔp we yu ledɔm ɛn i kin bɔku we yu tinap ɔ tinap. Nɔ wɔri, dis na fɔ shɔt tɛm nɔmɔ . I go stɔp fɔ insɛf insay sɔm awa ɔ sɔm dez if yu drink bɔku wata ɛn rɛst. If yu nɔ ebul fɔ bia, tɛl yu dɔktɔ, mɛrɛsin de fɔ am.

Wetin na di prɔblɛm dɛn we kin apin?

Siriɔs kɔmplikeshɔn dɛn afta dɛn dɔn du cisternogram nɔ kin bɔku, we min se dɛn nɔ kin apin so ɔltɛm . Bɔt i fayn fɔ no bɔt ivin di smɔl smɔl prɔblɛm dɛn we kin apin. Dɔn, no fred nɔ go de we nɔ nid fɔ de.

• Alɛji riakshɔn (lɛk it, rash) kin apin to ɛni wan pan di redioaktiv matirial ɔ di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad/analjɛsik. Bɔt, dis bak nɔ kin apin so ɔltɛm.
• na sכm tεm, wan kכndyushכn we dεn kכl `Brainstem Herniation` (we min se dεn de push di bren tisu kכmכt bikoz fכ prεshכn insay di ed) kin apin bikoz fכ prכblεm wit prεshכn pan di bren. Dɔktɔ dɛn de wɔri bɔt dis.
• bכdi de bכn insay di bren כ di spεnal kכd frכm di say we dεn put di nidul kin apin. Dis na sɔntin we pipul dɛn we de tek mɛrɛsin we de mek dɛn blɔd tan, fɔ tek tɛm wit.
• Infεkshכ n kin go insay di say we dεn bin put di nidul. Di bɛst we fɔ mek dis nɔ apin na fɔ klin am fayn fayn wan.
• Very rarely , smɔl smɔl nerve damej kin apin.

Dis tɛst de yuz sɔntin we gɛt redioaktiv, so yu kin gɛt smɔl raytin . Bɔt na rili smɔl doz, lɛk di sem lɛk sɔm ɛkstrem rayt dɛn we dɛn kin du ɔltɛm . Di risk fɔ mek pɔsin du bad fɔ lɔng tɛm rili smɔl. Na dat mek dɛn kin advays uman dɛn we gɛt bɛlɛ nɔ fɔ gɛt am.

Aw lɔng i kin tek fɔ mek di rizɔlt kam insay? Wetin dɛn kin se?

Afta yu las skan, spɛshal dɔktɔ (wan `Radiologist` ɔ `Nuclear Medicine Physician`) go tek tɛm luk di pikchɔ dɛm ɛn rayt ripɔt. Dis kin tek sɔm dez ɔ wan wik . Yu dɔktɔ go tɛl yu we yu nid fɔ kam insay fɔ gɛt di rizɔlt.

Naw lɛ wi si wetin dɛn rizɔlt ya se.

If na nɔmal rizɔlt...

Imajin se yu cisternogram rizulyt kam bak as ``Nכmal''. Dat na fayn nyus! i min se yu ``CSF'' wata de fכlכ fayn fayn wan, wit di rayt spid, tru yu bren εn spεnal kכd . Dat min se nɔ ``CSF'' lik, nɔ blok, ɛn nɔ blok.

Wetin kin bi wan tin we nɔmal fɔ du?

Naw, if di rizulyt kam bak as ``Abnormal,'' e de ɛp yu dɔktɔ fɔ no wetin de kɔz yu simptom dɛm. If yu nɔ fil fayn, dat kin sho wan ɔ mɔ pan dɛn tin ya:

• CSF lik: If di skan sho di redioaktiv matirial de lik kכmכt na di CSF sistεm, dεn kכl am CSF lik. dis kin apin bכku tεm afta wan traumatik bren injuri (TBI), di sכkul fraktכs, כ damej pan di כta kכva fכ di spεnal kכd (dεn kכl am dura mater). I kin apin bak smɔl smɔl afta sɔm ɔpreshɔn dɛn na yu bren ɔ ɔda mɛrɛsin, lɛk fɔ pank di lɔmba.
• Prɔblɛm dɛn we de wit CSF shunt: Dɛn kin put smɔl tiub (shunt) insay di bren fɔ mek di CSF wata go na ɔda say as tritmɛnt fɔ haydrosɛfalɔs (wata na di bren). If di shunt nɔ de wok fayn, lɛk if i dɔn blok ɔ i gɛt ɔda prɔblɛm, dis skan kin no dat bak.
• Hydrocephalus: Dis na we di sεribrospεnal fכluid (CSF) de bכku insay di vεntrikl dεm na di bren, we de mek dεn big εn put prεshכn pan di bren. Wi jɔs kɔl am "haydrosɛfalɔs." dis kin kכnfכm bay we yu luk di fכ fכlכ patεn fכ di CSF pan wan cisternogram.
• `Nכmal-Prεshכn Hydrocephalus (NPH): insay dis kes, `CSF` fכluid de kכmכt bak na di kכva dεm na di bren, di kכva dεm de bi big, bכt di prεshכn insay di bren nכ de inkrεs lεk aw dεn bin se. As di nem sho, na "Normal-Pressure". Dɛn kin si dis sik pan pipul dɛm wae dɔn ol. Sɔm kayn sik lɛk wae i nɔr kin izi fɔ waka, i nɔ kin izi fɔ kɔntrol yu urine, ɛn yu nɔ kin mɛmba fayn fayn wan.
• `Pseudotumor Cerebri`: Sɔm pipul dɛn kin kɔl dis bak `fals bren tumor`. Dat min se, di prɛshɔn de go ɔp insay di bren we nɔ gɛt rial tumbu, ɛn fɔ no rizin. Dɔktɔ dɛn kin kɔl dis bak `Idiopathic Intracranial Hypertension`. insay dis kes, tu, wan cisternogram kin gi wan aydia fכ di `CSF` fכ fכlכ.

So, yu dɔktɔ go tek dɛn rizɔlt ya, yu simptom dɛm, ɛn ɔda tɛst ripɔt dɛm togɛda fɔ no wetin na yu sik ɛn wetin fɔ du bɔt am.

Mɛsej we dɛn kin kɛr go na os

Okay, so lɛ wi rikap di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt:

• sisternogram skan na spεshal tεst we de luk di fכ fכlכ di imכtant wata we dεn kכl `CSF` (sεribrospεnal fluid) na wi bren εn spεnal kכd, εn if eni lik כ blכk de enisay.
• If dɔktɔ tɛl yu fɔ du dis, i kin bi bikɔs dɛn tink se CSF lik ɔ wata dɔn bɔku. Yu kin gɛt sɔm sayn dɛn we gɛt fɔ du wit dat.
• dis tεst de involv fכ pankchכ di lכmba (wan nidul we dεn put insay di spayna) we dεn de fכlכ skan wan כ mכr de.
• Pan ɔl we smɔl diskɔmfɔt ɛn sayd ɛfɛkt kin apin, siriɔs risk nɔ kin bɔku.

If yu gɛt ɛni ɔda kwɛstyɔn, wɔri, ɔ dawt bɔt dis tɛst, nɔ ol ɛnitin, nɔ fred fɔ aks yu dɔktɔ. Dɛn go ɛksplen ɔltin to yu mɔ.

If yu de kam du tɛst lɛk dis, a de wish yu fɔ wɛl kwik kwik wan!

` Sisternogram, Sisternogram Skan, CSF, Sεribrospεnal Fluid, Bren Tεst, Spin, Nεv Sistem