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Inadvertent cervical cord puncture during myelography via C1-C2 approach
M G Farese1, C R Martinez, C H Fisher
1University of South Florida College of Medicine, Tampa.
Summary
Inadvertent intramedullary injection during C1-C2 puncture for cervical myelography occurred but resulted in minimal symptoms. Postmyelographic CT scanning detected the metrizamide injection, with no long-term complications for the patient.
Area of Science:
- Neurology
- Radiology
- Neurosurgery
Background:
- C1-C2 puncture is a standard procedure for cervical myelography.
- Intramedullary injection of contrast material can lead to cord injury and neurological deficits.