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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Spinal Tap Required To Look For CLL Cells In The Spinal Fluid?

I have been diagnosed with CLL from a bone marrow biopsy. I have been treated for te past two years for hearing loss and balance problems. I had cataract surgery in my left eye 2010. A month later I went blind in the eye. Partial vision returned after hospitalization and 1ooo mg prednisone IV. I was placed on a prednisone taper starting at 80mg / day. Slow improvement followed untill i got to 10 mg then my vision stsrted to slowly get worse. My doctors have not been able to connect these symptoms. Do I need a spinal tap to look for CLL cells in the spinal fluid as a posssible cause and connection? The vision problems are great concern. I think both eyes are affected. I can't read books newspapers or drive.
Fri, 20 Mar 2015
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Pediatrician, Hematology Oncology 's  Response
it is unusual for CLL perse to affect brain. but giving the recent vision problem and improvement with steroid, its advisable to do lumbar puncture. i would like to do MRI as well. you have some CNS symptoms since two years, need to get a diagnostic imaging.
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Is Spinal Tap Required To Look For CLL Cells In The Spinal Fluid?

it is unusual for CLL perse to affect brain. but giving the recent vision problem and improvement with steroid, its advisable to do lumbar puncture. i would like to do MRI as well. you have some CNS symptoms since two years, need to get a diagnostic imaging.