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脊髓造影后颅内注入甲泛葡胺。

Intracranial metrizamide following myelography.

作者信息

Llewellyn G, Gaudet L, Quartey G R, Campbell D R

出版信息

J Can Assoc Radiol. 1984 Sep;35(3):259-61.

PMID:6501381
Abstract

Twenty patients were studied by cranial computed tomography within 24 hours of myelography with metrizamide (Amipaque) to determine the intracranial manifestations of the use of this nonionic water soluble contrast medium. The findings ranged from relative hypodensity of the white matter due to ventricular opacification and gray matter penetration of metrizamide, to apparent trans-ependymal migration of the contrast agent resulting in what we have termed "pseudohydrocephalus." Trans-ependymal migration in normal humans has not been previously described. We were unable to establish precise radiologic correlates with the neurologic complications which some of the patients developed.

摘要

20名患者在使用甲泛葡胺(阿米培克)进行脊髓造影后的24小时内接受了头颅计算机断层扫描,以确定使用这种非离子型水溶性造影剂后的颅内表现。其表现多样,从因脑室显影和甲泛葡胺渗入灰质导致的白质相对低密度,到造影剂明显的经室管膜迁移,进而形成我们所称的“假性脑积水”。正常人体内的经室管膜迁移此前尚未见报道。我们无法确定与部分患者所出现的神经并发症确切相关的影像学表现。

相似文献

1
Intracranial metrizamide following myelography.脊髓造影后颅内注入甲泛葡胺。
J Can Assoc Radiol. 1984 Sep;35(3):259-61.
2
Absence status epilepticus with computed tomographic brain changes following metrizamide myelography.甲泛葡胺脊髓造影术后出现脑计算机断层扫描改变的失神癫痫持续状态。
Ann Neurol. 1988 Oct;24(4):582-4. doi: 10.1002/ana.410240418.
3
[Adverse reactions and intracranial contrast medium after myelography].[脊髓造影后的不良反应及颅内造影剂]
Rinsho Hoshasen. 1989 Mar;34(3):323-7.
4
Brain changes on computed tomography following metrizamide myelography. Significance and therapeutic implications.甲泛葡胺脊髓造影后计算机断层扫描的脑部变化。意义及治疗意义。
Spine (Phila Pa 1976). 1986 Jul-Aug;11(6):509-12. doi: 10.1097/00007632-198607000-00001.
5
[Side effects of metrizamide (Amipaque) cervical myelography (author's transl)].
No Shinkei Geka. 1982 May;10(5):511-8.
6
Lumbar myelography with amipaque.
Spine (Phila Pa 1976). 1978 Mar;3(1):70-82. doi: 10.1097/00007632-197803000-00014.
7
Neurologic complications in diabetics after metrizamide lumbar myelography.
AJR Am J Roentgenol. 1986 May;146(5):1057-60. doi: 10.2214/ajr.146.5.1057.
8
Application of metrizamide in the radiographic evaluation of the neurologically diseased patient.甲泛葡胺在神经系统疾病患者影像学评估中的应用。
Neurosurgery. 1979 Sep;5(3):389-406.
9
[Usefulness and adverse effects of intrathecal metrizamide instillation (author's transl)].鞘内注入甲泛葡胺的效用及不良反应(作者译)
No To Shinkei. 1979 Aug;31(8):843-54.
10
Organic psychosyndrome correlated with high density of grey matter on CT following metrizamide cervical myelography.有机性精神综合征与脊髓造影术后CT上灰质高密度相关。
Clin Neurol Neurosurg. 1981;83(2):63-6. doi: 10.1016/0303-8467(81)90003-2.

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