Contrast-induced central nervous system toxicity after radiographic evaluation of the lower urinary tract in myelodysplastic patients with ventriculoperitoneal shunts.
Routine urological evaluation of children with myelomeningocele helps to identify those at risk for upper urinary tract deterioration. We report on 2 patients with ventriculoperitoneal shunts who had intraperitoneal rupture of the bladder. Reflux of contrast media via or around the ventriculoperitoneal shunt into the cerebral ventricles occurred in both patients, resulting in severe neurological insult.
Dalkin
B
B
Department of Pediatric Urology, Children's Memorial Hospital, Chicago, Illinois 60614.
Franco
I
I
Reda
E F
EF
McLone
D
D
Godine
L
L
Kaplan
W E
WE
D001927:Brain Diseases / Q000209:etiology*; D002675:Child, Preschool; D003287:Contrast Media / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008591:Meningomyelocele; D014521:Urethra / Q000000981:diagnostic imaging*; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D014567:Urography / Q000009:adverse effects; D014696:Ventriculostomy
D003287:Contrast Media