Rhabdomyolysis after intraoperative myelography.
This case report suggests that the nonionic contrast agents may cause myoclonic spasms and seizures like the ionic ones. A 14-year-old female with congenital scoliosis was scheduled for T2-L3 scoliosis surgery. She had no medical history of a seizure disorder. After a negative wake-up test, myelography was performed with iohexol. Myoclonic spasms, disseminated intravascular coagulopathy (DIC) and rhabdomyolysis were diagnosed postoperatively. Anaesthesiologists should be aware of the complications which may occur after the use of nonionic and water-soluble contrast agents.
Canbay
Ozgür
O
Department of Anaesthesiology, Hacettepe University Medical Center, Ankara, Turkey. alpercanbay@mynet.com
Bal
Nilüfer
N
Akinci
Seda
S
Kanbak
Meral
M
Aypar
Ulkü
U
D000293:Adolescent; D003287:Contrast Media / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D007472:Iohexol / Q000009:adverse effects*; D009192:Myelography; D009207:Myoclonus / Q000139:chemically induced; D011183:Postoperative Complications; D012206:Rhabdomyolysis / Q000139:chemically induced*; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000601:surgery*
D003287:Contrast Media; D007472:Iohexol