VERTIGO PROTOCOL (MRI Brain with CP angle and Screening of cervical spine) -Delhi

VERTIGO PROTOCOL (MRI Brain with CP angle and Screening of cervical spine) -Delhi

• Fasting is routinely not required unless specified in special instructions 
• Pace makers,  Aeurysmal clips, insulin pumps & recent magnetic implants are contra indications.
•  Pl remove jewellery at home for safety purpose. Remove eye make up before coming. 
• If you have MRI incompatible pacemakers - MRI is not advised & is contraindicated.  With MRI compatible pacemakers MRI is possible with support of yr pacemaker company engineer. Pl talk to yr pacemaker company engineer  to organise with our FDO & techie team to fix appointment for MRI to make suitable changes in pacemaker mode at time of MRI.
•  If patient has CT scan & contrast MRI both - do CT scan before contrast MRI as Gadolinium (MRI contrast)  can affect quality of plain CT especially in abdomen. 
•  appointment desirable 
•  If there is MRI brain & EEG – try to do MRI brain before EEG. If do EEG before MRI brain – then clean the paste well , otherwise it can lead to artefacts during MRI. 
•  biopsy of any given part to be done after MRI study. 
•  Gap between MR lymphangiography and lymphoscintigraphy should be more than 4 to 5 days. 
•  MRCP to be done before starting oral for CT abdomen.
•  Holter monitoring to be done after completing MRI study.
•  Bring old records- text reports, films, CD.
•  Today, most ortho implants, pacemakers etc are MRI compatible. If MRI compatible then we can do MRI even on  next day of surgery. However pl confirm from your doctor about MRI compatibility in writing. 
• Coronary stents & sternal sutures ( in cardiac bye pass) are not a contra indication for MRI. 
  For Pregnant patient - 
  Bring Photocopy of doctor precription & photo ID proof (adhar card, Voter ID or driving licence) for PNDT requirements (for Delhi center only) .  
  For Sedation – 
  Required for un coopertive patients like children etc. If patient has severe cough & cold / nasal blockage, fever, kidney or liver disease,  low haemoglobin -  avoid any kind of  sedation. There are two types of sedation - oral & IV sedation. 
•  Oral sedation – Usually works well for children < 2 yrs. Keep child fasting, bring his favourite food, remove metal from his body surface & clothes. We give oral sedative followed by meal after consultation with anasthetist,  child likely to go to sleep. 
•  For IV sedation - fasting is required for 5-6 hours for IV sedation in consultation with yr doctor & our techie / anasthetist team.  
• For Contrast studies – 
• Kidney function should be normal. Under certain circumstances like age more than 60 yrs, known case of kidney disease, long standing diabetic or hypertensive. . Please bring your record of recent ( no more than 4 week old) Serum creatinine/eGFR report  if already done. Else it may be done at Saral. After contrast study increase liquid intake for 24hrs after talking to your doctor. 
  if patient is lactating mother then feeding should be stopped  for 24hrs.      Can store milk if indicated.   
  If patient is pregnant then contrast study should be avoided , especially in first 3 months. 
  In contrast study post procedure instruction to drink more fluids after consultation with dr   

• 

  Home Collection: Not Available

• 

  Reports Available: 1 Day