RESUMO
The spinal epilepsy syndrome developed in 17 of 494 patients who were subjected to epidurography. Its cause was analysed in all cases. This syndrome develops evidently when a water-soluble iodine-containing contrast medium gains entry into the subarachnoid space or due to chance puncture of the dura mater during the manipulation or when the contrast medium flows through an opening in it which failed to close after a previous lumbar puncture. To prevent convulsions, epidurography should be conducted under careful control of the position of the needle in the epidural space and no earlier than 10 days after lumbar puncture. Because these rules were observed, none of the 216 epidurography procedures conducted since 1981 were complicated by spinal epilepsy.
Assuntos
Meios de Contraste/efeitos adversos , Espaço Epidural/diagnóstico por imagem , Epilepsia/prevenção & controle , Canal Medular/diagnóstico por imagem , Doenças da Medula Espinal/prevenção & controle , Humanos , Procaína/uso terapêutico , RadiografiaRESUMO
Epidurograms made at the lumbosacral level in 200 patients were analyzed. It was ascertained that to select the optimum route of administration of drugs into the epidural space it is advisable that preliminary epidurography be performed via a low sacral puncture and the routes of contrast medium distribution be controlled. If its larger part makes its appearance parasacrally, epidural punctures should be performed at the lumbar level.
Assuntos
Espaço Epidural , Injeções/métodos , Canal Medular , Espaço Epidural/diagnóstico por imagem , Feminino , Humanos , Vértebras Lombares , Masculino , Radiografia , SacroRESUMO
Following a prolonged and unsuccessful treatment, 50 patients with severe compression-radical forms of lumbar osteochondritis received--under roentgenographic control--a course of epidural injections of drugs (trimecaine, chymotrypsin and lydasa). A considerable improvement was observed in 60% of the patients, which indicates that the method is effective.
