Lohexol cervical myelography in adult outpatients

Henry Wang, Ashok J. Kumar, S. James Zinreich, Yvonne M. Higgins, Donlin M. Long, R. Nick Bryan

Research output: Contribution to journalArticlepeer-review

Abstract

The incidence of adverse reactions following standard film or screen cervical myelography with iohexol in 32 adult outpatients was reported, lohexol at a dose of 1, 080-3, 000 mg of iodine was administered via a lateral C1-C2 approach in 26 patients and via a lumbar route in 6 patients. All 32 patients underwent postmyelographic cervical spine computed tomography and were discharged after the procedure was completed. No adverse reactions occurred in 53.1% of patients. The most common adverse reaction was headache (31.3%); other minor adverse reactions included exacerbation of pre-existing pain (12.5%), neck stiffness (9.4%), and vomiting (6.3%). Good to excellent technical quality was seen on all myelograms and computed tomographic scans. Outpatient cervical myelography with iohexol appears to be a safe and cost-effective alternative to inpatient examination.

Original languageEnglish (US)
Pages (from-to)1356-1358
Number of pages3
JournalSpine
Volume16
Issue number12
DOIs
StatePublished - Dec 1991

Keywords

  • Contrast media
  • Iohexol
  • Nonionic toxicity
  • Outpatient cervical myelography
  • Spine computed tomography

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Clinical Neurology

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