[Cerebral angiitis or central side effects after lumbar myelography (with intracerebral vascular spasm)].
This is a case report of severe neurological complications following lumbar radiculography with the non-ionic x-ray contrast agent Iopamidol. The complication, which consisted of serious mnestic disturbances and various neurological deficits including hemiparesis, was due to intracerebral vascular spasms, demonstrated by cerebral angiography, and TCD followed by multiple cerebral infarctions, demonstrated by MRI. A possible causal relationship between the cerebral vascular spasm and intrathecal administration of Iopamidol is discussed.
May
A
A
Neurologische Universitätsklinik Essen.
Faiss
J
J
Keidel
M
M
Schwarz
M
M
Weiller
C
C
D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000139:chemically induced*; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging*; D007479:Iopamidol / Q000009:adverse effects*; D002546:Ischemic Attack, Transient / Q000139:chemically induced* / Q000175:diagnosis; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009192:Myelography; D009460:Neurologic Examination / Q000187:drug effects; D014657:Vasculitis / Q000139:chemically induced* / Q000175:diagnosis
D007479:Iopamidol
Zerebrale Angiitis oder zentrale Nebenwirkung nach lumbaler Myelographie (mit intrazerebral nachweisbaren Gefässspasmen).