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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
- Minor complications
- Any unexpected sequela following myelography
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
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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
- Minor complications
- Any unexpected sequela following myelography
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
