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CT脊髓造影使用非离子型碘海醇300后发生的血管源性脑水肿

Vasogenic Cerebral Edema following CT Myelogram with Nonionic Omnipaque 300.

作者信息

Khodor Sara, Blumenthal Scott

机构信息

University of South Florida, Tampa, FL, USA.

South Florida Neurology Associates, Boca Raton, FL, USA.

出版信息

Case Rep Neurol Med. 2018 May 22;2018:2761872. doi: 10.1155/2018/2761872. eCollection 2018.

Abstract

Computed Tomography (CT) with myelogram is a relatively safe procedure. It requires the use of nonionic contrast agents which, unlike ionic contrast agents, have been associated with low complication rates. We report a case of a 69-year-old female who developed diffuse bilateral cerebral edema following a lumber myelogram with the use of intrathecal nonionic contrast agent Omnipaque (Iohexol) 300. We were able to find one other reported case of cerebral edema following the use of intrathecal nonionic contrast agent in the literature.

摘要

计算机断层扫描(CT)脊髓造影是一种相对安全的检查方法。它需要使用非离子型造影剂,与离子型造影剂不同,非离子型造影剂的并发症发生率较低。我们报告一例69岁女性病例,该患者在腰椎脊髓造影中使用鞘内注射非离子型造影剂欧乃派克(碘海醇)300后出现双侧弥漫性脑水肿。在文献中,我们仅能找到另一例使用鞘内非离子型造影剂后发生脑水肿的报告病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd9a/5987242/f186950478ef/CRINM2018-2761872.001.jpg

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