Abstract
Bu makalede myelografinin yan etkileri tartışıldı. Myelografiyi takiben oluşabilenen önemli komplikasyon kronik araknoidittir. Yazar, lomber disk hernili hastalarda, myelograinin rütin olarak yapılmasını önermektedir. Klinik ve diğer tanı metodlarının disk herniasyon seviyesini tam belirleyemediği vakalarda myelografi uygulanabilir. Myeiografiden sonra kontrast madde tam olarak geri alınmalıdır. Yazar, 300 lomber disk hernili vakayı ameliyat etmiştir. :Bu 300 vakanın 151 inde myelografi yapılmıştır. Myelografi yapılan vakaların 26 sında bel ağrısı, 4 ünde lokal araknoidit, 2 sinde mikro pulmoner emboli, 1 inde meninjit oluşmuştur. Bunun yanında myelografi yapılmayan 149 vakanın âncak 3 ünde ameliyat. sonu takibinde bel ağrısı belirlenmiştir. Hiç bir vakada araknoidit, meninjit, pulmoner. emboli oluşmamıştır.
Project Number
-
References
- 1.Berberich J : Cited by Epstein BS : The spine. A radiological text and atlas. 4: Ed. Lea-Febiger, Phil. 1976 pp. 86. i
- 2.Bergeron RT ve ark : Experimental pantopague arachnoiditis is the monkey, Radiology 99 : 95, 1971 »
- 3.Epstein BS : The Spine. A Radiologicat Text and Atlas. 4. Ed. Lea-Febiger, Phil, 1976 s:91 ; ' 7
- 4.Ferry Dlirveark: Effect of Pantopague myelography on cerebrospinal fluid fractions, J Neurosurg 38 : 167, 1973
- 5.Freiberger RH, Harvey PJ : Myelography with water soluble contrast media, Semin Roentgenol, 7 : 24, 1972 i 4
- 6.Howland WIJ Cury İL: Experimental: studies of Pantopague arachnoiditis, Radiology 87 : 253, 1966
- 7.Kubik..CS,- Hampton AO : Removal of iodized oil by-lumbar puncture, New Eng J Med 224 : 455, 1941
- 8.Marcovich AW, Walker AE, Jessico CM : Immediate and late effects of intrathecal injection of iodized oil, JAMA 116 : 2247, 1941 i
- 9.Mister WI, Barr JS : Rupture of the intervertebral disc with involvement of the spinal cord, New Eng J Med 211 : 210, 1934
- 10.Peterson HO : Commentâry on Myelography. Current Controversles in Neurosurgery Ed. by Morley, T.P. 1. ed. Saunders.Phil. London, Toronto. 1976. S:28
- 11.Sicard JA, Forestier J : Methode gönerale d'exploration radiologigue par VHuile lod&e (Lipiodo!),. Bull Mâm Soc Höop de Paris 46 ; 463, 1922
- 12.Stirain WH, Plati IT, Warren SL : Todinated organic compounds as contrast media for . radiographic diagnosis. 1. lodinated aracyi esters, J Am Chem Soc 64: 1436, 1942
- 13.Tarlov IM : Spinal perineurinal and meningeal cysts. J Neurol, Neurosurg, Psychiat 33 : 833, 1970
- 14.Young DA, Burney RE : Complication of myelography transection and withdrawal of a nerve filament by the needle, New Eng J Med 285 : 156, 1971
Abstract
Myelography in the Patients with Herniated Lumbar Disc In this paper the side-effects of the myelography have been discussed. The most important compiication which will be occurred in the following myelography is chronic arachnoiditis. The author advises that in the patients with lumbar her- -niated disc the myelography should not be done routinely. In the cases when clinical and other lobaratory methods can not give sufficient data for the diagnosis of the exact level of the discal herniation site the myelography can be performed. After the myelographic examination the contrast medium should be removed completely. The auther has performed operation in 33 cases of herniated lumbar disc patients. In this 300 cases myelography has been done in 151 cases. In the patilents who had myeiography before the operation low back pain in 26 cases, local chronic arachnoiditis in 4 cases, micro pulmonary embolus in 2 cases and meningitis in 1 case had developed. Beside this, in 149 cases who had not any myelography low back pain in 3 cases had developed after the operation but no arach- .noiditis, meningitis or pulmonary embolus had occurred.
Ethical Statement
-
Supporting Institution
-
Project Number
-
Thanks
-
References
- 1.Berberich J : Cited by Epstein BS : The spine. A radiological text and atlas. 4: Ed. Lea-Febiger, Phil. 1976 pp. 86. i
- 2.Bergeron RT ve ark : Experimental pantopague arachnoiditis is the monkey, Radiology 99 : 95, 1971 »
- 3.Epstein BS : The Spine. A Radiologicat Text and Atlas. 4. Ed. Lea-Febiger, Phil, 1976 s:91 ; ' 7
- 4.Ferry Dlirveark: Effect of Pantopague myelography on cerebrospinal fluid fractions, J Neurosurg 38 : 167, 1973
- 5.Freiberger RH, Harvey PJ : Myelography with water soluble contrast media, Semin Roentgenol, 7 : 24, 1972 i 4
- 6.Howland WIJ Cury İL: Experimental: studies of Pantopague arachnoiditis, Radiology 87 : 253, 1966
- 7.Kubik..CS,- Hampton AO : Removal of iodized oil by-lumbar puncture, New Eng J Med 224 : 455, 1941
- 8.Marcovich AW, Walker AE, Jessico CM : Immediate and late effects of intrathecal injection of iodized oil, JAMA 116 : 2247, 1941 i
- 9.Mister WI, Barr JS : Rupture of the intervertebral disc with involvement of the spinal cord, New Eng J Med 211 : 210, 1934
- 10.Peterson HO : Commentâry on Myelography. Current Controversles in Neurosurgery Ed. by Morley, T.P. 1. ed. Saunders.Phil. London, Toronto. 1976. S:28
- 11.Sicard JA, Forestier J : Methode gönerale d'exploration radiologigue par VHuile lod&e (Lipiodo!),. Bull Mâm Soc Höop de Paris 46 ; 463, 1922
- 12.Stirain WH, Plati IT, Warren SL : Todinated organic compounds as contrast media for . radiographic diagnosis. 1. lodinated aracyi esters, J Am Chem Soc 64: 1436, 1942
- 13.Tarlov IM : Spinal perineurinal and meningeal cysts. J Neurol, Neurosurg, Psychiat 33 : 833, 1970
- 14.Young DA, Burney RE : Complication of myelography transection and withdrawal of a nerve filament by the needle, New Eng J Med 285 : 156, 1971
Details
| Primary Language | English |
|---|---|
| Subjects | Brain and Nerve Surgery (Neurosurgery), Neurology and Neuromuscular Diseases |
| Journal Section | Research Article |
| Authors | |
| Project Number | - |
| Publication Date | December 31, 1980 |
| Published in Issue | Year 1980 Volume: 33 Issue: 4 |