Amipaque myelography without late adhesive arachnoid changes

Neuroradiology
|February 17, 1978
PubMed

Insights

Remyelography using Amipaque showed minimal adverse effects in most cases. Only two patients experienced worsening arachnoiditis, with one case potentially linked to a prior operation, not the contrast agent.

Area of Science:

  • Radiology
  • Neurology
  • Medical Imaging

Background:

  • Myelography is a diagnostic imaging technique.
  • Amipaque is a contrast medium used in myelography.
  • Assessing the safety and long-term effects of contrast media is crucial.

Purpose of the Study:

  • To evaluate the safety and incidence of late adverse reactions following Amipaque myelography.
  • To assess the impact of repeat myelography (remyelography) with Amipaque.

Main Methods:

  • Performed sixty-three myelographies using Amipaque.
  • Conducted remyelographies in a subset of patients after an interval of over two months.
  • Registered 269 remyelographies, noting any secondary late reactions.

Main Results:

  • One case showed progression of pre-existing arachnoiditis during remyelography.
  • One case exhibited minimal nerve root changes attributed to a subsequent operation.
  • No secondary late reactions were registered in 269 remyelographies.
  • Two cases of increased arachnoid changes possibly related to prior non-Amipaque contrast media were observed.

Conclusions:

  • Remyelography with Amipaque appears to have a low incidence of significant late adverse reactions.
  • Observed arachnoid changes in remyelography cases were generally not attributable to Amipaque itself, with other factors like prior operations or different contrast agents being more likely causes.

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