Inadvertent cervical cord puncture during myelography via C1-C2 approach.
C1-C2 puncture is a procedure commonly performed to assure satisfactory cervical myelography. Cord injury with neurological deficit has been reported following intramedullary injection of myelographic contrast material. We report a case of inadvertent intramedullary injection of metrizamide which was initially discovered during postmyelographic CT scanning. The patient had very minimal symptoms during the procedure and had no immediate or long-term complications.
Farese
M G
MG
University of South Florida College of Medicine, Tampa.
Martinez
C R
CR
Fisher
C H
CH
D000328:Adult; D002574:Cervical Vertebrae; D003287:Contrast Media / Q000009:adverse effects; D005260:Female; D006801:Humans; D009192:Myelography / Q000009:adverse effects*; D013119:Spinal Cord Injuries / Q000000981:diagnostic imaging / Q000209:etiology*; D013129:Spinal Puncture / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
D003287:Contrast Media