link
Bookmarks
Spine
Diagnosis
Spine Postprocedural Imaging
Postoperative Imaging and Complications
Myelography Complications
Myelography Complications
Jeffrey S. Ross, MD
To access 4,300 diagnoses written by the world's leading experts in radiology.
Sign in
Try it free - 15 days
0
0
2
0
KEY FACTS
Terminology
Imaging
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Any unexpected sequela following myelography
Minor complications
Postdural puncture headache (PDPH)
Incorrect needle position (subdural, epidural)
Transient neurologic sequela
Contrast reaction (minor)
Major complications
CSF leak
Symptomatic spinal subdural, epidural, or subarachnoid hemorrhage
Contrast reaction (major)
Cord injury
Intracranial hemorrhage
Seizure
Paralysis
Death
Delayed complications
Iatrogenic epidermoid
IMAGING
General Features
CT Findings
MR Findings
Nonvascular Interventions
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Özütemiz C et al: Lumbar puncture under fluoroscopy guidance: a technical review for radiologists. Diagn Interv Radiol. 25(2):144-56, 2019
Willson MC et al: Postoperative spine complications. Neuroimaging Clin N Am. 24(2):305-26, 2014
Soliman HM et al: Post-myelography paraplegia in a woman with thoracic stenosis. J Spinal Cord Med. 36(3):247-9, 2013
Chin KR et al: Myelographic evaluation of cervical spondylosis: patient tolerance and complications. J Spinal Disord Tech. 21(5):334-7, 2008
Cordier D et al: Acute paraplegia after myelography: decompensation of a herniatad thoracic disc. Br J Neurosurg. 22(5):684-6, 2008
Sather MD et al: Spinal subarachnoid hematoma resulting from lumbar myelography. AJNR Am J Neuroradiol. 28(2):220-1, 2007
Sandow BA et al: Myelography complications and current practice patterns. AJR Am J Roentgenol. 185(3):768-71, 2005
Klein KM et al: Status epilepticus and seizures induced by iopamidol myelography. Seizure. 13(3):196-9, 2004
Ziv ET et al: Iatrogenic intraspinal epidermoid tumor: two cases & review of the literature. Spine. 29(1):E15-8, 2004
Park JC et al: Iatrogenic spinal epidermoid tumor. A complication of spinal puncture in an adult. Clin Neurol Neurosurg. 105(4):281-5, 2003
Turnbull DK et al: Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anaesth. 91(5):718-29, 2003
Dunford J: Fatal ascending tonic-clonic seizure syndrome. Ann Emerg Med. 32(5):624-6, 1998
Peterman SB: Postmyelography headache: a review. Radiology. 200(3):765-70, 1996
Nakakoshi T et al: Aseptic meningitis complicating iotrolan myelography. AJNR Am J Neuroradiol. 12(1):173, 1991
Katoh Y et al: Complications of lateral C1-2 puncture myelography. Spine. 15(11):1085-7, 1990
Robertson HJ et al: Cervical myelography: survey of modes of practice and major complications. Radiology. 174(1):79-83, 1990
Kostiner AI et al: Outpatient lumbar myelography with metrizamide. Radiology. 155(2):383-5, 1985
Sarno JB: Transient expressive (nonfluent) dysphasia after metrizamide myelography. AJNR Am J Neuroradiol. 6(6):945-7, 1985
Baker FJ et al: Aseptic meningitis complicating metrizamide myelography. AJNR Am J Neuroradiol. 3(6):662-3, 1982
Brodey PA et al: Nerve rootlet avulsion. A complication of myelography using the Chynn needle. Radiology. 125(3):734, 1977
Kennedy TF et al: Nerve rootlet avulsion as a complication of myelography with the Cualtico needle. Radiology. 119(2):389, 1976
Related Anatomy
Loading...
Related Differential Diagnoses
Loading...
References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
Any unexpected sequela following myelography
Minor complications
Postdural puncture headache (PDPH)
Incorrect needle position (subdural, epidural)
Transient neurologic sequela
Contrast reaction (minor)
Major complications
CSF leak
Symptomatic spinal subdural, epidural, or subarachnoid hemorrhage
Contrast reaction (major)
Cord injury
Intracranial hemorrhage
Seizure
Paralysis
Death
Delayed complications
Iatrogenic epidermoid
IMAGING
General Features
CT Findings
MR Findings
Nonvascular Interventions
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Özütemiz C et al: Lumbar puncture under fluoroscopy guidance: a technical review for radiologists. Diagn Interv Radiol. 25(2):144-56, 2019
Willson MC et al: Postoperative spine complications. Neuroimaging Clin N Am. 24(2):305-26, 2014
Soliman HM et al: Post-myelography paraplegia in a woman with thoracic stenosis. J Spinal Cord Med. 36(3):247-9, 2013
Chin KR et al: Myelographic evaluation of cervical spondylosis: patient tolerance and complications. J Spinal Disord Tech. 21(5):334-7, 2008
Cordier D et al: Acute paraplegia after myelography: decompensation of a herniatad thoracic disc. Br J Neurosurg. 22(5):684-6, 2008
Sather MD et al: Spinal subarachnoid hematoma resulting from lumbar myelography. AJNR Am J Neuroradiol. 28(2):220-1, 2007
Sandow BA et al: Myelography complications and current practice patterns. AJR Am J Roentgenol. 185(3):768-71, 2005
Klein KM et al: Status epilepticus and seizures induced by iopamidol myelography. Seizure. 13(3):196-9, 2004
Ziv ET et al: Iatrogenic intraspinal epidermoid tumor: two cases & review of the literature. Spine. 29(1):E15-8, 2004
Park JC et al: Iatrogenic spinal epidermoid tumor. A complication of spinal puncture in an adult. Clin Neurol Neurosurg. 105(4):281-5, 2003
Turnbull DK et al: Post-dural puncture headache: pathogenesis, prevention and treatment. Br J Anaesth. 91(5):718-29, 2003
Dunford J: Fatal ascending tonic-clonic seizure syndrome. Ann Emerg Med. 32(5):624-6, 1998
Peterman SB: Postmyelography headache: a review. Radiology. 200(3):765-70, 1996
Nakakoshi T et al: Aseptic meningitis complicating iotrolan myelography. AJNR Am J Neuroradiol. 12(1):173, 1991
Katoh Y et al: Complications of lateral C1-2 puncture myelography. Spine. 15(11):1085-7, 1990
Robertson HJ et al: Cervical myelography: survey of modes of practice and major complications. Radiology. 174(1):79-83, 1990
Kostiner AI et al: Outpatient lumbar myelography with metrizamide. Radiology. 155(2):383-5, 1985
Sarno JB: Transient expressive (nonfluent) dysphasia after metrizamide myelography. AJNR Am J Neuroradiol. 6(6):945-7, 1985
Baker FJ et al: Aseptic meningitis complicating metrizamide myelography. AJNR Am J Neuroradiol. 3(6):662-3, 1982
Brodey PA et al: Nerve rootlet avulsion. A complication of myelography using the Chynn needle. Radiology. 125(3):734, 1977
Kennedy TF et al: Nerve rootlet avulsion as a complication of myelography with the Cualtico needle. Radiology. 119(2):389, 1976
STATdx includes over 200,000 searchable images, including x-ray, CT, MR, and ultrasound images. To access all images, please log in or subscribe.
Sign in
Try it free - 15 days