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Amipaque myelography the side effects compared with dimer X

Myelographie a l'amipaque

Amipaque-Myelographie

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Summary

In a comparative study between Dimer X and Amipaque (metrizamide) for lumbar myelography it was found that there is a little higher frequency of minor, but unimportant side effects after Amipaque. Amipaque has also been used for thoracocervical myelography with excellent results and without greater discomfort than after myelography in the lumbar region. A new puncture technique was used for the examination of the cervical region alone: lateral puncture on the neck between the laminae of C1 and C2 under TV control. In more than 75 reinvestigations no arachnoid changes were observed.

Résumé

Dans une recherche pour comparer les effets du Dimer X et Amipaque utilisé pour la myélographie lombaire, il y a une fréquence moindre des effets secondaires après l'usage d'Amipaque. Il n'existe pas de différence significative par rapport au Dimer X. Ainsi, l'Amipaque est utilisé pour les myélographies thoraciques et cervicales avec des résultats excellents et sans plus d'inconvénients que dans la myélographie lombaire. Une nouvelle technique de ponction de la région cervicale est pratiquée dans les myélographies: ponction latérale entre les lames de C1 et C2 sous contrôle télévisé. Dans plus de 75 contrôles, on n'a pas observé de réaction irritative arachnoïdienne.

Zusammenfassung

Bei einer vergleichenden Untersuchung zwischen Dimer X und Amipaque für die lumbale Myelografie ist eine wenig höhere Frequenz von kleinen aber bedeutungslosen Nebenwirkungen nach Amipaque ohne oder nur mit geringem signifikanten Unterschied von Dimer X gefunden worden. Amipaque ist auch zur thoracocervicalen Myelografie mit sehr guten Ergebnissen und ohne grö\ere Unbequemlichkeiten als bei der lumbalen Myelografie angewandt worden. Eine neue Punktionstechnik ist bei der reinen cervicalen Myelografie gebraucht worden: laterale Punktion am Hals zwischen C1 und C2 unter TV-Kontrolle. Bei mehr als 75 Nachuntersuchungen mit Amipaque sind keine arachnoidalen Veränderungen beobachtet worden.

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Authors and Affiliations

  1. Neuroradiological Section, Glostrup Hospital, Copenhagen, Denmark

    P. Ahlgren

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  1. P. Ahlgren
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Ahlgren, P. Amipaque myelography the side effects compared with dimer X. Neuroradiology 9, 197–202 (1975). https://doi.org/10.1007/BF00346147

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