May A, Faiss J, Keidel M, Schwarz M, Weiller C
Neurologische Universitätsklinik Essen.
Nervenarzt. 1994 Feb;65(2):125-7.
This is a case report of severe neurological complications following lumbar radiculography with the non-ionic x-ray contrast agent Iopamidol. The complication, which consisted of serious mnestic disturbances and various neurological deficits including hemiparesis, was due to intracerebral vascular spasms, demonstrated by cerebral angiography, and TCD followed by multiple cerebral infarctions, demonstrated by MRI. A possible causal relationship between the cerebral vascular spasm and intrathecal administration of Iopamidol is discussed.
这是一例关于使用非离子型X线造影剂碘帕醇进行腰椎神经根造影术后出现严重神经并发症的病例报告。该并发症包括严重的记忆障碍和多种神经功能缺损，如偏瘫，是由脑血管痉挛所致，脑血管造影显示了这一点，经颅多普勒超声（TCD）检查进一步证实，随后MRI显示出现了多发性脑梗死。本文讨论了脑血管痉挛与鞘内注射碘帕醇之间可能存在的因果关系。
