Complications of water-soluble contrast lumbar myelography. Review of the literature and case report.
A historic review of the development of water-soluble contrast materials for lumbar myelography is presented. This is followed by a discussion of their advantages and complications, as well as a case report of convulsive segmental myoclonus, hypotension, and death after myelography associated with the use of dimeglumine locarmate (Dimer-X). A new nonionic material, metrizamide (Amipaque), is discussed, and its current clinical status is summarized.
D000368:Aged; D003287:Contrast Media / Q000009:adverse effects*; D006801:Humans; D007022:Hypotension / Q000139:chemically induced; D007482:Iothalamate Meglumine / Q000009:adverse effects; D008297:Male; D009192:Myelography; D009207:Myoclonus / Q000139:chemically induced
D003287:Contrast Media; D007482:Iothalamate Meglumine