title: Lateral C1-2 puncture for cervical myelography. Part II: Recognition of improper injection of contrast material.
abstract: The interpretation of cervical metrizamide myelography requires specific anatomic considerations, particularly when the lateral C1-2 puncture technique is employed. Fresh unfixed cervical spine specimens were injected with a mixture of metrizamide and methylene blue. Radiologic examinations of these specimens were compared with a retrospective analysis of 100 consecutive unselected cervical myelograms obtained by lateral C1-2 puncture during the years 1979-1980. Epidural, subdural, subpial, dentate ligament, and spinal cord injections may be encountered when the lateral C1-2 puncture for myelography is employed; possible artifacts from such injection are discussed.
mesh_terms: D006801:Humans; D007278:Injections, Spinal; D008751:Methylene Blue; D008793:Metrizamide / Q000008:administration & dosage*; D009192:Myelography; D013129:Spinal Puncture
chemical_list: D008793:Metrizamide; D008751:Methylene Blue