Status Epilepticus after Mye lography with Inadve rtent Injection of Diatrizoate
Journal of the Korean Geriatrics Society
;
: 47-50, 2004.
Article
in Korean
| WPRIM
| ID: wpr-157850
ABSTRACT
A 37-year-old male patient was transferred from a local orthopedic clinic due to status epilepticus following a myelography with diatrizoate. On his laboratory findings, metabolic acidosis was prominent. Non-enhanced brain CT scan showed a high densinty in the subarchnoid space. With careful respiratory support, hydration, correction of acid-base balance, administration of dexamethasone, and anticonvulsant therapy, he completely recovered after 3 days. Diatrizoate is an ionic, iodinated and hyperosmolar X-ray contrast medium. It must not be injected intrathecally because of the risk to the central nervous system. The possible mechanisms are anaphylactic reaction due to iodine hypersensitivity, hyperosmolar effect, and direct chemotoxicity by ionicity and chemical structure itself.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orthopedics
/
Status Epilepticus
/
Acid-Base Equilibrium
/
Acidosis
/
Injections, Spinal
/
Brain
/
Dexamethasone
/
Myelography
/
Tomography, X-Ray Computed
/
Central Nervous System
Limits:
Adult
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Geriatrics Society
Year:
2004
Type:
Article
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