Cerebrospinal Fluid Patches with Tisseel – A Photo Journey

This is a photo post of the procedure I had done on Aug. 22, 2011.

If things like this my disturb you, or if you have an aversion to needles, please do not look.

I’m publishing this, solely for those who have a curiosity about this procedure, and for my own prosperity.

I apologize I do not have any photos of the Lumbar Puncture, or the Myelogram.  I didn’t think to ask my husband to start taking pictures until we were at this stage.

1 - Marked Areas where Needles are to Enter.
2 - Apply Pressure (the CT scan lines up where to enter, and they take pictures the entire time they are working on each spot)
3 - Lidocaine
4 - Needle Remains
5 - CT scan of previous image. upper right - can see needle in inside.
6- Needle remains after first adjustment.
7- upper left - where needle was upper right - where needle is after last adjustment.
8- More adjustment
9 - upper right, where needle is after last adjustment.
10 - Final Adjustment
11 - add contrast dye.
12 - can see contrast on image
13 - adding Tisseel. (a Fibrin Sealant)
14 - Tisseel being added. Can see pushing the contrast deeper. They put contrast in so they can see where the Tisseel is going.


This series is patching one leak.  This had to be repeated for each of the 7 leaks they patched.

Please remember I’m on my face the entire time.  I did not see this procedure until I was able to see the photographs.  We are relying solely on my husband’s memory for the descriptions.  Please forgive us if something is slightly off.

Also, these photos were taken with his phone, so please forgive the quality.

(He was a bit more concerned about what was going on with me, instead of taking notes on the procedure.  I keep telling him, that he can do both…but somehow, he just doesn’t believe me.)

I hope you enjoyed your little snippet of my day at Duke Medical.

Thank you to Dr. Linda Gray Leithe and her wonderful team for allowing us to take photos, and for taking such wonderful care of me.


4 thoughts on “Cerebrospinal Fluid Patches with Tisseel – A Photo Journey

  1. deb

    Absolutely fascinating! Thank you for the photos…the description..the information. When we are equipped with knowledge we can feel more in control of our chronic illness. While there may not be a cure yet, the options out there for us to feel better are a real encouragement.
    Thank you Wendy for being brave and enduring what looks like a very uncomfortable procedure. I pray that this helps you and allows you to have quality of life!
    Deb 🙂


  2. I must say, this procedure, really isn’t so bad. It gets to be a bit tiring on my stomach for so long. The biggest problem is that the pain meds they use makes my face itch. So I’m not supposed to move through most of this and my nose and face itch so bad!!
    But the needles, the first prick is usually all I feel, if I feel anything more, they give me more lidocaine. They do not want it to hurt at all!
    Sore later, but during it…no problem…except for the itchy nose. That’s why I had them put the blue cap on me, I felt like it was my hair tickling me..the nurse said, No, it’s the fentynal. That stuff is great because you just don’t care afterward, but the itching is a pain in the … well, face.


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