Jensen T S, Hein O
J Neurol Neurosurg Psychiatry. 1978 Feb;41(2):108-12. doi: 10.1136/jnnp.41.2.108.
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.
一名35岁女性在使用水溶性造影剂碘卡明葡胺进行腰椎脊髓造影后出现严重的脑膜反应。脊髓造影三个月后，发现因软脑膜粘连严重而导致相当于胸中段的横贯性脊髓综合征。同时伴有非交通性脑积水，可能是后颅窝软脑膜纤维化的结果。在进行脑室心房分流术后，患者几乎无症状。根据文献讨论了造影剂、慢性软脑膜改变与该患者症状之间可能的发病机制关系。
