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Influence of the spread and period of retention of Iotrolan in the subarachnoid space on the side effects rate in myelography

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Summary

Fifty patients underwent myelography with the newly developed CSF-isotonic, dimeric, non-ionic contrast medium Iotrolan. Repeat spinal and cranial computerised tomographic studies with measurement of the attenuation values were conducted to demonstrate the administered contrast medium in the spinal canal and intracranial subarachnoid space. The patients were examined neurologically, observed clinically and asked about concomitant symptoms. The period of retention and the spread of the contrast medium in the subarachnoid space was not found to have any influence on the side effects rate. In particular, no association was confirmed between intracranially demonstrable contrast medium and the occurrence of side effects.

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References

  1. Avrahami E, Cohn DF (1982) Zum Problem der postmyelographischen Kopfschmerzen. Schweiz Arch Neurol Neurochir Psychiatr 130:157–160

    Google Scholar 

  2. Baker FJ, Gossen G, Bertoni JM (1982) Aseptic meningitis complicating Metrizamide myelography. AJNR 3:662–663

    Google Scholar 

  3. Batty VB (1984) Cervical myelography using Iohexol (Omnipaque) a new contrast medium. Clin Radiol 35:75–77

    Google Scholar 

  4. Bergvall V, Brismar T, Lying-Tunell U, Valdimarssion E (1981) Confusion, myeloclonus and speech arrest: Epileptic manifestations after metrizamide myelography. Acta Neurol Scand 63:315–322

    Google Scholar 

  5. Bradac GB, Kaernbach A (1981) Selektive zervikale Myelographie mit Metrizamid (Amipaque). Radiologie 21:199–202

    Google Scholar 

  6. Büchele W, Kunitsch G, Brandt Th (1979) Die lumbale Myelographie mit Methylglucamin-Jocarmat (Dimer X). Röntgen-Bl 32:39–45

    Google Scholar 

  7. Caillé JM, Gioux M, Arné P, Paty J (1983) Neurotoxity of nonionic iodinated watersoluble contrast media in Myelography: experimental study. AJNR 4:1185–1189

    Google Scholar 

  8. Dixon WJ (1981) BMDP Statistical software Biomedical computer programs

  9. Drayer BP, Vasallo C, Sudilovsky S, Luther J, Wilkins R, Allen S, Bates M (1983) A double-blind clinical trial of iopamidol versus metrizamide for lumbosacral myelography. J Neurosurg 58:531–537

    Google Scholar 

  10. Eldevic OP (1982) Side effects and complications of myelography with water soluble contrast agents. J Oslo City Hosp 32:21–138

    Google Scholar 

  11. Galle G, Huh W, Arnold K (1984) Psychopathometric demonstration and quantification of mental disturbances following myelography with metrizamide and iopamidol. Neuroradiology 26:229–233

    Google Scholar 

  12. Gelmers HJ (1981) Acute psycho-organic reactions after cervical myelography using metrizamide. Clin Neurol Neurosurg 82:57–61

    Google Scholar 

  13. Greitz T, Hindmarsh T (1974) Computer assisted tomography of intracranial CSF circulation using a water-soluble contrast medium. Acta Radiol 15:497–507

    Google Scholar 

  14. Gulati AN, Guadagnoli DA, Quigley MD (1981) Relationship of side effects to patient position during and after metrizamide lumbar myelography. Radiology 14:113–116

    Google Scholar 

  15. Hammer B (1981) Neuroradiologische Erfahrungen mit Iopamidol, einem neuen nicht-ionischen wasserlöslichen Kontrastmittel. Radiologe 21:274–281

    Google Scholar 

  16. Hammer B (1981) Die Computertomographie-Zisternographie-Technik und Pathophysiologie als Ursache der Nebenerscheinungen. Röntgen-Blätter 34:185–189

    Google Scholar 

  17. Hauge O, Falkenberg H (1982) Neuropsychologic reactions and other side effects after metrizamide myelography. AJNR 139:357–360

    Google Scholar 

  18. Hekster RE (1982) Adverse effects of metrizamide. Clin Neurol Neurosurg 84:132–133

    Google Scholar 

  19. Kausch W (1981) Die ambulant durchgeführte Myelographie. Röntgen-B1 34:91–93

    Google Scholar 

  20. Kieffer SA, Binet EF, Davis DO, Gabrielsen TO, Kido DK, Latchaw RE, Turski PA, Schaw DD (1984) Lumbar myelography with iohexol and metrizamide: a comparative multicenter prospective study. Radiology 5:665–670

    Google Scholar 

  21. Killebrew K, Whaley RA, Hayward JN, Scatliff JH (1983) Complications of metrizamide myelography. Arch Neurol 40: 78–80

    Google Scholar 

  22. Krüger J, Von Wild K, Hacker H (1977) Wie gefahrlos ist die lumbosacrale Myelographie mit wasserlöslichen Kontrastmitteln? Dtsch Med Wochenschr 102:342–345

    Google Scholar 

  23. MacPherson P, Teasdale E, McGeorge AP (1983) Direct puncture versus run up cervical myelography with iopamidol: a comparison of side effects, EEG changes and radiographic quality. J Neurol Neurosurg Psychiat 46:959–962

    Google Scholar 

  24. Petterson H, Fitz CR, Harwood-Nash CF, Armstrong E, Chuang SH (1982) Adverse reactions to myelography with metrizamide in infants, children and adolescents. Acta Radiol Diagn 23:323–329

    Google Scholar 

  25. Pritchard PB, O'Neal DB (1984) Nonconvulsive status epilepticus following metrizamide myelography. Ann Neurol 16:252–254

    Google Scholar 

  26. Robertson WD, Lapointe JS, Nugent RA, Robinson RG, Daly LF (1980) Positioning of patients after metrizamide lumbar myelography. AJNR 134:947–948

    Google Scholar 

  27. Sartor K (1979) Aszendierende und deszendierende Myelographie mit wasserlöslichem Kontrastmittel. Röntgen-B1 32: 251–256

    Google Scholar 

  28. Schmidt RC (1979) Myelographie mit Metrizamid: Technik-Pharmakokinetik-Nebenwirkungen-Untersuchungsergebnisse. Habil-Schr, Hannover, Med Hochschule

  29. Stoeter P, Bergleiter R, Schneider I, Kubina FG (1982) Nebenwirkungen und Kontrastmittelresorption von Jopamidol und Jocarmat bei der lumbalen Myelographie. CT-Sonographie 2:179–183

    Google Scholar 

  30. Vogelsang H, Schmidt RC (1979) Spinale Reizerscheinungen nach Myelographien mit Amipaque bei Patienten mit schweren Kyphoskoliosen. Fortschr. Röntgenstr 131:90–92

    Google Scholar 

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Hoffmann, B., Becker, H. & Wenzel-Hora, B.I. Influence of the spread and period of retention of Iotrolan in the subarachnoid space on the side effects rate in myelography. Neuroradiology 29, 380–384 (1987). https://doi.org/10.1007/BF00348919

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  • DOI: https://doi.org/10.1007/BF00348919

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