Adhesive arachnoiditis after lumbar radiculography with Dimer-X and Depo-Medrol.
Lumbar radiculographs were obtained in 252 patients with suspected disk herniation. Fifteen patients who underwent previous radiculography with Dimer-X plus Depo-Medrol exhibited adhesive arachnoiditis. This was not observed in 6 patients who received Dimer-X alone. No positive correlation between radiological diagnosis of adhesive arachnoiditis and clinical symptoms can be demonstrated. The authors suggest that steroids not be used intrathecally in combination with water-soluble contrast media.
D000328:Adult; D001100:Arachnoiditis / Q000139:chemically induced*; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging / Q000601:surgery; D007482:Iothalamate Meglumine / Q000009:adverse effects*; D007483:Iothalamic Acid / Q000031:analogs & derivatives*; D008775:Methylprednisolone / Q000009:adverse effects*; D008875:Middle Aged; D009192:Myelography / Q000379:methods*; D012585:Sciatica
D007483:Iothalamic Acid; D008775:Methylprednisolone; D007482:Iothalamate Meglumine