[Diabetes insipidus after myelography. Report of a case].
The case of a 28 year-old man in whom diabetes insipidus appeared 24 hours after Pantopaque myelography is reported. This unusual complication, not previously reported, probably was caused by a hypersensitivity reaction or mechanical-irritative effect on the hypothalamic-hipophyseal area produced by suprasellar Pantopaque droplets, demonstrated by skull x-rays. The patient improved after being treated with steroids. Some serious complications of myelography can be prevented by avoiding supratentorial spillage of Pantopaque.
D000328:Adult; D002740:Chlorothiazide / Q000627:therapeutic use; D003919:Diabetes Insipidus / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007030:Hypothalamo-Hypophyseal System / Q000187:drug effects; D007462:Iodobenzenes / Q000009:adverse effects*; D007481:Iophendylate / Q000009:adverse effects*; D008297:Male; D009192:Myelography / Q000009:adverse effects*; D011241:Prednisone / Q000627:therapeutic use; D012886:Skull / Q000000981:diagnostic imaging
D007462:Iodobenzenes; D002740:Chlorothiazide; D007481:Iophendylate; D011241:Prednisone
Diabete insípido após mielografia. Registro de um caso.