Vacher H, Rivoal A, Ristori J M, Chazal J, Lopitaux R, Weilbacher H, Vincens C, Viallet J F
J Radiol Electrol Med Nucl. 1978 Apr;59(4):283-5.
Infection of the épidural space was demonstrated on clinic (cauda equina compression) and radiology. Three investigations are considered and compared : Dimer X radiculography, lumbar phlebography, duroliopaque myelography. The transfemoral arcending lumbar catheterization of the epidural veins precise the compression by staphylococcic external pachymeningitis. No liquid is introduced in cerebro spinal fluid : there is not risk of infectious arachnoiditis. Myelography with positive contrast (duroliopaque: ethyl monoiodostearate) is much attractive but it is a procedure not easy to perform, even badly tolerated by the patient. For these reasons the lumbar phlebography, easily performed, can be realised in first intention.
硬膜外腔感染在临床(马尾神经受压)和放射学检查中得到证实。本文考虑并比较了三项检查:二聚体X线神经根造影、腰椎静脉造影、硬膜造影剂脊髓造影。经股动脉逆行腰椎硬膜外静脉插管可明确葡萄球菌性硬脊膜外层炎所致的压迫情况。未向脑脊液中注入任何液体:不存在感染性蛛网膜炎的风险。阳性造影剂脊髓造影(硬膜造影剂:乙基单碘硬脂酸盐)很有吸引力,但操作不易,患者耐受性也差。基于这些原因,易于实施的腰椎静脉造影可作为首选检查。