Post non-ionic contrast myelogram

Case contributed by Dr Chris O'Donnell

Presentation

Sudden onset of seizures ~ 4 hours post lumbar myelogram

Patient Data

Age: 65
Gender: Male

Hyperdense material consistent with radiographic (iodine-based) contrast in the CSF without apparent cerberal parenchymal abnormality although it is difficult to be certain given the overwhelming density of the CSF

Case Discussion

Complications following non-ionic myelography are now rare but include seizures, encephalopathy and diffuse cerebral oedema. The presence of contrast in the cerebral CSF post myelography is not infrequent especially following a cervical myelogram.

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Case information

rID: 28707
Case created: 8th Apr 2014
Last edited: 19th Dec 2016
Inclusion in quiz mode: Included

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