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Chances of developing tight film terminal from a lumbar puncture - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2586 Questions
User :   Can I develop a tight filum teriminale from a lumbar puncture
Doctor :   hi
Doctor :   Dr. XXXXXXXX here
User :   Hi - I have had a variety of neuro symptoms for years...Finally they found a chiari malformation - however ever since I had a lumbar puncture 2 years ago I have had headaches and pain in my lower back - have you ever heard of somebody deveoping a tight filum terminale from an LP?
Doctor :   it is usually associated with tethering, and depends on how fluid was removed.
User :   They were checking for MS related symptoms - I'm not sure how much was removed - I couldn't find any literature online about tethered cord and spinal taps so I wasn't sure if this was just a shot in the dark. I had an mri and it showed nothing - but I heard of something called "occult filum terminale" where this doesn't show up on the mri - is that common? Do you now much about this?
Doctor :   it is not very common. the term occult means hidden, which might mean that it was not very obvious on the MRI
Doctor :   but when correlated with your symptoms, it could be a possibility
User :   What would you suggest with the next step?
Doctor :   i would suggest a second opinion with review of all your results and re-examination
Doctor :   to see the current status
Doctor :   and then proceed further
User :   With a chiari expert? I saw a neurosurgeon who specialized in chiari - he said he didn't think I needed surgery at this point and saw no tethered cord - his name is Dr. XXXXXXXX XXXand he's on the board for Chiari research...would you recommend seeing another expert?
Doctor :   yes, if you are still in doubt about his opinion, you could opt to take a second opinion to make sure you are going in the right direction.
User :   LAst question - have you ever heard of a "occult filum terminale" occurring from one spinal tap - I still have pain/pressure at the sight of the tap from time to time
User :   I can't find info on it anywhere
Doctor :   it can result from traumatic spinal tap
User :   What does "traumatic" mean
Doctor :   it means that during the spinal tap, there was injury to the spinal cord and / or excess spinal fluid taken out leading to tethering
User :   Ok thanks!
Doctor :   is there anything else I can help you with?
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