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J Vet Emerg Crit Care (San Antonio) ; 19(6): 611-6, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20017767

RESUMO

OBJECTIVE: To compare the incidence of seizures in dogs with intervertebral disk disease after iopamidol or iomeprol myelography, and to assess whether the incidence of seizures differed between the 2 agents when severity of neurological deficits, location of cord compression, duration of anesthesia, site of myelogram, volume of contrast, and concentration of contrast were evaluated. DESIGN: Retrospective study. SETTING: Veterinary teaching hospital. ANIMALS: One hundred and sixty-one client-owned dogs with intervertebral disk disease. INTERVENTIONS: Subarachnoid injection of contrast medium. MEASUREMENTS AND MAIN RESULTS: One hundred and sixty-one dogs with intervertebral disk disease were subjected to myelography using iopamidol (n=74) or iomeprol (n=87). Cranial myelography was performed in 31 dogs, caudal myelography in 125 and both cranial and caudal myelography in 5. Seizures occurred in 23 of 161 (14%) dogs. There was no significant difference overall between iopamidol and iomeprol myelography. However, in dogs with thoracolumbar disk extrusion and paraplegia, seizures occurred more frequently after caudal myelography using iopamidol compared with iomeprol. CONCLUSIONS: Both iomeprol and iopamidol are suitable for myelography in dogs. Iomeprol is recommended for caudal myelography in paraplegic dogs with thoracolumbar disk extrusion due to the higher incidence of seizures in this group when iopamidol was used.


Assuntos
Meios de Contraste/efeitos adversos , Doenças do Cão/induzido quimicamente , Doenças do Cão/epidemiologia , Iopamidol/análogos & derivados , Iopamidol/efeitos adversos , Mielografia/veterinária , Convulsões/veterinária , Animais , Vértebras Cervicais/diagnóstico por imagem , Cães , Feminino , Deslocamento do Disco Intervertebral/diagnóstico por imagem , Deslocamento do Disco Intervertebral/veterinária , Vértebras Lombares/diagnóstico por imagem , Masculino , Análise Multivariada , Mielografia/efeitos adversos , Paraplegia/diagnóstico por imagem , Estudos Retrospectivos , Faculdades de Medicina Veterinária , Convulsões/induzido quimicamente , Convulsões/epidemiologia
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