[Intrathecal distribution of iohexol after cervical myelography].
Cervical myelography was performed in fourteen patients under suspicion of cervical disc herniation. Prior to myelography, complete cranial-CT registration of the density in the subarachnoid space, intraventricularly, subcorticaly and periventriculary was performed. Control scans 3, 6, 24 and 48 hours following myelography disclosed intracranial contrast media at level of basal cistern, the fourth ventricle and Sylvian fissure. Nine and eleven patients, respectively, had enhancement in the third and lateral ventricles. All patients had subcortical enhancement and nine patients had periventricular enhancement. At the first three hours after cervical myelography minor subcortical and periventricular edema was disclosed, which resolved during the subsequent hours. Two days after myelography, minimal residual contrast was disclosed subcortically at the level at the Sylvian fissure and in the subarachnoid space at the level of the Sylvian fissure and the convexity. It is recommended, that diagnostic cranial-CT is performed before cervical myelography or at a minimum of three days after cervical myelography.
Røntgenafdelingen og neurologisk afdeling, Vejle Sygehus.
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Madsen
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Olsen
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Svare
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Zeeberg
D000328:Adult; D000368:Aged; D001921:Brain / Q000000981:diagnostic imaging; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007278:Injections, Spinal; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging*; D007472:Iohexol / Q000493:pharmacokinetics; D008297:Male; D008875:Middle Aged; D009192:Myelography / Q000009:adverse effects / Q000379:methods; D014057:Tomography, X-Ray Computed
D007472:Iohexol
Intratekal iohexolfordeling efter cervikal myelografi.