Emergency Medicine Department, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, 1617763141 Tehran, Iran.
Am J Emerg Med. 2012 Nov;30(9):2092.e1-3. doi: 10.1016/j.ajem.2011.12.034. Epub 2012 Mar 3.
Myelography has been of great use as a diagnostic modality, especially when other modalities were not conclusive.However, considering the invasive nature of myelography, it should receive the attention of medical personnel for them to be aware of its possible complications, especially when newer agents are applied as the contrast media. Myelography could lead to some common adverse effects and complications, but in this case report, we will present one of the most serious and uncommon complications accompanied with myelography using Omnipaque, a nonionic second-generation contrast agent. These complications include lower-extremity myoclonic spasms, tonic seizure leading to status epilepticus, rhabdomyolysis, disseminated intravascular coagulation and anaphylactic shock. Having the knowledge of possible complications and available solutions, particularly fatal ones, could prepare medical staff beforehand for primary and secondary preventions.
脊髓造影术作为一种诊断方式有很大的用处，特别是当其他方式的结果不确定时。然而，考虑到脊髓造影术的侵袭性，医务人员应该关注它可能带来的并发症，特别是当使用新的造影剂时。脊髓造影术可能会导致一些常见的不良反应和并发症，但在本病例报告中，我们将介绍一种最严重和不常见的并发症，这种并发症伴随着使用非离子型第二代造影剂欧乃派克（Omnipaque）进行脊髓造影术。这些并发症包括下肢肌阵挛性痉挛、强直阵挛导致癫痫持续状态、横纹肌溶解、弥散性血管内凝血和过敏性休克。了解可能出现的并发症及其解决方案，特别是致命的并发症，可以使医务人员提前做好一级和二级预防准备。
