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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.
Abstract:
C1-C2 puncture is a procedure commonly performed to assure satisfactory cervical myelography. Cord injury with neurological deficit has been reported following intramedullary injection of myelographic contrast material. We report a case of inadvertent intramedullary injection of metrizamide which was initially discovered during postmyelographic CT scanning. The patient had very minimal symptoms during the procedure and had no immediate or long-term complications.