Abstract
Whether a history of headache or “early” versus “late” ambulation (no bed rest or bed rest for 24 h) influence the occurrence of headache after lumbar iohexol myelography was studied by blinded interviews in 158 consecutive patients referred for elective lumbar myelography (LM) because of suspected lumbar disc prolapse or spinal stenosis. Headache after LM occurred more often in patients with a history of headache (57%) than in patients without such a history (29%),P<0.001. Patients with normal myelographic findings complained of headache after LM more often (55%) than patients with abnormal normal myelographams (31%),P<0.008. No difference in the incidence of headache after LM was demonstrated in early versus late ambulation.
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References
Ahlgren P (1975) Amipaque myelography. The side effects compared with Dimer X: Neuroradiology 9: 197–202
Kendall B, Schneidau A, Stevens J, Harrison M (1983) Clinical trial of iohexol for lumbar myelography. Br J Radiol 56: 539–542
Kieffer SA, Binet EF, Davis DO, Gabrielsen TO, Kido DK, Latchaw RE, Turski PA, Shaw DD (1984) Lumbar myelography with iohexol and metrizamide. A comparative multicenter prospecive study. Radiology 151: 665–670
Sand T, Stovner LJ, Dale L, Salvesen R (1987) Side effects after diagnostic lumbar puncture and lumbar iohexol myelography. Neuroradiology29: 385–388
Hollnagel H, Nørrelund N (1980) Headache among 40 year-olds in Glostrup. Ugeskr Læg 142: 3071–3077
Sand T (1989) Which factors affect reported headache incidences after lumbar myelography? A statistical analysis of publications in the literature. Neuroradiology 31: 55–59
Tourtelotte WW, Henderson WG, Tucker RP, Gilland O, Walker JE, Kokman E (1972) A randomized double-blind clinical trial comparing the 22 versus 26 gauge needle in the production of the post-lumbar puncture syndrome in normal individuals. Headache 12: 73–78
Nestvold K (1978) The influence of needle size on the incidence of adverse effects caused by spinal puncture (in Norwegian). Tidskr Nor Lægeforen 98: 569–570
Wilkinson AG, Sellar RJ (1991) The influence of needle size and other factors on the incidence of adverse effects caused by myelography. Clin Radiol 44: 338–341
Sand T, Myhr G, Stovner LJ, Dale LG, Tangerud Å (1989) Side effects after ambulatory lumbar iohexolmyelography. Neuroradiology 31: 49–54
Jensen TT, Eggert W, Hansen KF, Fink M (1987) Side-effects of lumbar metrizamide myelography in ambulant patients and patients confined to bed. Ugeskr Læger 149: 2016–2017
Kuuliala IK, Göranson HJ (1987) Adverse reactions after iohexol lumbar myelography: influence of postprocedural positioning. AJR 149: 389–390
Kaukinen S, Kaukinen L, Kannisto K, Kataja M (1981) The prevention of headache following spinal anaesthesia. Ann Chir Gynaecol 70: 107–111
Flaaten H, Rodt S, Rosland J, Vamnes J (1987) Postoperative headache in young patients after spinal anaesthesia. Anaesthesia 42: 202–205
Sand T, Stovner LJ, Myhr G, Sjaastad O (1990) Lumbar iohexol myelography and diagnostic lumbar puncture. Headache and associated side effects in relation to neurological signs and diagnosis, previous mental symptoms and pain history. Cephalalgia 10: 9–16
Skalpe IO, Nakstad P (1988) Myelography with iohexol (Omnipaque); a clinical report with special reference to the adverse effects. Neuroradiology 30: 169–174
Cleeland S, Shaham S, Dahl JL, Orrison W (1984) CSF β-endorphin and the severity of pain. Neurology 34: 378–380
Gulati AN, Guadagnoll DA, Quigley JM (1981) Relationship of side effects to patient position during and after metrizamide lumbar myelography. Radiology 141: 113–116
Postacchini F, Massobrio M (1985) Outpatient lumbar myelography. Analysis of complications after myelography comparing outpatients with inpatients. Spine 10: 567–570
Vilming ST, Schrader H, Monstad I (1988) Post-lumbar-puncture headache: the significance of body posture. A controlled study of 300 patients. Cephalalgia 8: 75–78
Carbaat PAT, van Crevel H (1981) Lumbar puncture headache: controlled study on the preventive effect of 24 hours' bed rest. Lancet II: 1133–1135
Choudhri AH, Rowlands PC, Barber CJ, Johnson J, Stevens JM (1989) Outpatient myelography: an acceptable and cost-effective technique. Br J Radiol 62: 253–255
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Died 27 July 1991
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Hallam, D.M., Sonne, N.M., Jensen, G.S. et al. Headache after lumbar iohexol myelography: the influence of a history of headaches and early ambulation. Neuroradiology 35, 319–321 (1993). https://doi.org/10.1007/BF00602625
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DOI: https://doi.org/10.1007/BF00602625