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in this video weamp;#39;re going to talk about my low grams weamp;#39;ll talk about why you might do them and specific techniques you might use now my low grams are typically being done when the patientamp;#39;s a contraindication 10 mor such as a pacemaker some sort of metal implant or too much Hardware in artifact from lumbar spine Hardware theyamp;#39;re often done as pre surgical evaluation and in some specific scenarios you might do a myelogram to evaluate for a site of CSF leak so Lyla Grahams are centrally specialized versions of lumbar punctures where after youamp;#39;ve completed the lumbar puncture you object contrast for imaging either of the thecal sac or the CSF within the brain in the case of my lag Rafi youamp;#39;re doing it for imaging of the spine to evaluate for spinal canal narrowing in CT myelogram youamp;#39;re going to use I donated contrast you can only use final safe preparations so those typically are the ones between concentrations of 180 and 300 we us
