A cervical myelogram is teh radiographic visualisation of the cervical spinal cord and its nerve roots following the injection of a contrast media agent into the cerebrospinal fluid which surround the spinal cord

• upper limb neoropathy
• most commonly performed today on patients who are unable to have MRI assessment of their spinal cord
  

• non-consent by patient to procedure
• contrast or iodine allergy
• pregnancy (pregnancy test compulsory for women of child-bearing age in some centres)
• bleeding disorders, blood thinning medications , anticoagulants (heparin, warfrin, aspirin)[ check INR if available]
  

• patient identification (3 Cs- correct patient, correct side, correct procedure)

• Patient should be wearing a hospital gown; pants,socks and shoes removed
  
• consent form
• no diet restrictions (some centres suggest fast from solids for 4 - 6 hours prior to procedure)
  
• collect relevant previous imaging for ease of access prior to procedure

1	21 guage 3/45 inch butterfly needle
2	25 ml syringes
1	drawing up canula
1	swab
1	tape
1	20 ml normal saline in 25 ml syringe
2	tourniquet