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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.

DOI:10.1155/2018/2761872
PMID:29951330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5987242/
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/b850eb4ce7ac/CRINM2018-2761872.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd9a/5987242/f186950478ef/CRINM2018-2761872.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd9a/5987242/b850eb4ce7ac/CRINM2018-2761872.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd9a/5987242/f186950478ef/CRINM2018-2761872.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd9a/5987242/b850eb4ce7ac/CRINM2018-2761872.002.jpg

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Vasogenic Cerebral Edema following CT Myelogram with Nonionic Omnipaque 300.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
Case Rep Neurol Med. 2018 May 22;2018:2761872. doi: 10.1155/2018/2761872. eCollection 2018.
2
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[A case of pulmonary edema after intravenous administration of iohexol (Omnipaque) 300 mg I/ml in cerebral CT].
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本文引用的文献

1
Cerebral Edema and its Management.脑水肿及其处理
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Contrast-induced neurotoxicity after coronary angiography.冠状动脉造影术后对比剂诱导的神经毒性
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Contrast-Induced Neurotoxicity following Cardiac Catheterization.心脏导管插入术后的造影剂诱导神经毒性
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Status epilepticus after myelography with iohexol (Omnipaque).碘海醇(欧乃派克)脊髓造影后癫痫持续状态。
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Malignant Cerebral Edema following CT Myelogram Using Isovue-M 300 Intrathecal Nonionic Water-Soluble Contrast: A Case Report.使用碘海醇300鞘内注射非离子型水溶性造影剂行CT脊髓造影后发生恶性脑水肿:一例报告
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