Arachnoiditis from Experimental Myelography With Aqueous Contrast Media

Haughton, V M; Op, Eldevik; Kc, Ho; Larson, SJ; Gf, Unger

doi:10.1097/00007632-197803000-00013

Cited by 13 publications

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“…Envelopment of the dura and nerve roots by scar tissue may cause an ischaemic neuropathy, the battered root syndrome [3]. In addition to surgery many factors have been attributed to the genesis of arachnoiditis including agents injected into the subarachnoid space such as contrast media, anaesthetics and steroids, trauma, infection of the intervertebral space, or intrathecal haemorrhage [2,5,15,21,23].…”

Section: Discussionmentioning

confidence: 99%

The results of surgical treatment of lumbar arachnoiditis

Roca

Moreta

Ubierna

et al. 1993

International Orthopaedics

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S u m m a r y . Forty patients with lumbar arachnoiditis, following previous operations, were classified into 4 myelographic types. Most patients with type I images had herniated disc symptoms with unilateral leg pain and limited straight-leg raising. Patients with types H and III myelographic appearances had bilateral leg pain, absent ankle jerks, weakness, cramps and signs of diffuse sensory deficit; some also had neurogenic claudication and urinary sphincter dysfunction. All patients with type IV had dysaesthesia. Twenty-three of the 40 patients underwent reoperation and those with types I and H had acceptable results, but poor results occurred in those with types III and IV myelograms. R6sum6. Quarante patients atteints d'arachno'idite lombaire ont ~t~ class& selon les images mydlographiques en quatre groupes. La plupart des patients avec une image de type I prdsentent des signes de hernie discale avec sciatalgies unilatdrales et limitation de l'extension de la jambe. Chez les patients pr&entant des caractdristiques mydlographiques de type H et III prddominent des sciatalgies bilatdrales, des spasmes musculaires, de la faiblesse, des crampes et des troubles sensitifs diffus. Quelques patients prdsentent un syndrome neurologique ddficitaire et une atteinte sphinctdrienne. Tous les malades avec des images mydlographiques de type IV ont des dysesthdsies. Vingt-trois patients sur quarante ont dtd rdopdrds. L'intervention a obtenu un r~sultat satisfaisant (bon et moyen) chez les patients avec des images mydlographiques de type I e t II. Chez ceux qui avaient des mydlographies de type III et IV les mauvais r6sultats ont dtd beaucoup plus frdquents.

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Section: Discussionmentioning

confidence: 99%

The results of surgical treatment of lumbar arachnoiditis

Roca

Moreta

Ubierna

et al. 1993

International Orthopaedics

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Gas Myelography in the Management of Spinal Cord Disorders in Children

Hemmy

Millar

Haughton

1978

Proceedings of the XI. Symposium Neuroradiologicum

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Subacute reactions to intrathecal Amipaque (metrizamide), conray and dimer X: A structural and ultrastructural study

et al. 1981

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Adult New Zealand rabbits were injected intrathecally with 200 or 300 mgI/ml of metrizamide, meglumine iocarmate or meglumine iothalamate. They were placed in the Trendelenburg position for 20 min and allowed to survive for 1, 2 or 3 weeks. Sacrifice was by intraarterial perfusion of aldehydes under anesthesia followed by preparation of brain and major venous sinuses for light and electron microscopy. Major findings were subpial edema and inflammatory reaction of superficial brain, leptomeninges, subarachnoid space and arachnoid granulations. They were most severe after iothalamate and milder after metrizamide. The severity decreased with time. It is of significance that severe reactions occurred after 300 mgI/ml concentration of metrizamide.

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Arachnoiditis from Experimental Myelography With Aqueous Contrast Media

Cited by 13 publications

References 0 publications

The results of surgical treatment of lumbar arachnoiditis

The results of surgical treatment of lumbar arachnoiditis

Gas Myelography in the Management of Spinal Cord Disorders in Children

Subacute reactions to intrathecal Amipaque (metrizamide), conray and dimer X: A structural and ultrastructural study

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