ABSTRACT
Relatamos caso de aracnoidite constritiva torácica, verificada 10 anos após o uso de pantopaque, que foi utilizado em mielografia no diagnóstico de cisto aracnóideo
Subject(s)
Humans , Male , Middle Aged , Arachnoiditis/chemically induced , Contrast Media/adverse effects , Iophendylate/adverse effects , Paraparesis/etiology , Syringomyelia/etiology , Acetates/therapeutic use , Analgesics/therapeutic use , Arachnoid Cysts , Arachnoiditis/complications , Arachnoiditis/surgery , Constriction, Pathologic/chemically induced , Constriction, Pathologic/complications , Constriction, Pathologic/surgery , Myelography/adverse effects , Paraparesis/surgery , Syringomyelia/drug therapy , Syringomyelia/surgery , Time FactorsABSTRACT
Clinical features and serial cerebrospinal fluid (CSF) samples of 50 patients who underwent myelography with iophendylate were studied. Forty two patients (84%) developed one or more features suggestive of meningism lasting for 2-4 days. There was significant rise in the average (mean) CSF counts from 9.81 in the premyelogram sample to 532.6 at the end of 24 hours (p less than 0.001). Both neutrophil and lymphocyte (p less than 000) count increased. At the end of one week, there was significant decrease of total cells in the CSF to 204 (p less than 0.001). Both, neutrophils and lymphocytes decreased. There was significant rise in total proteins in the 24 hours sample, but the fall at one week was not significant statistically. The sugar and chloride values did not change significantly. All CSF samples were negative for bacterial cultures. In conclusion, a significant proportion of the patients undergoing iophendylate myelography develop clinical features suggestive of meningeal irritation and change in the CSF fractions suggestive of meningitis: however these changes are transient and do not warrant institution of chemotherapy or steroids.