Intraspinal arachnoiditis and hydrocephalus after lumbar myelography using methylglucamine iocarmate

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A 35 year old woman developed a severe meningeal reaction after lumbar myelography using the water-soluble contrast medium methylglucamine iocarmate. Three months after myelography the findings were a transverse spinal cord syndrome corresponding to the middle thoracic segments resulting from well developed leptomeningeal adhesions. This was combined with a noncommunicating hydrocephalus, probably the result of leptomeningeal fibrosis in the posterior fossa. After treatment with a ventriculoatrial shunt the patient is almost free of symptoms. A possible pathogenetic relationship between the contrast medium, the chronic leptomeningeal changes, and the symptoms of our patient is discussed on the basis of the literature.

OriginalsprogEngelsk
TidsskriftJournal of Neurology, Neurosurgery and Psychiatry
Vol/bind41
Nummer2
Sider (fra-til)108-12
Antal sider5
ISSN0022-3050
StatusUdgivet - feb. 1978

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