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Acute psychosis following cervical myelography with iohexol

A R Bhat1, C Sarada, S Thomas

  • 1Sri Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Neuroradiology
|January 1, 1994
PubMed

Insights

A young man experienced temporary acute psychosis after a cervical myelography procedure using iohexol. This adverse event, a transient psychotic episode, has not been previously documented following this diagnostic imaging.

Area of Science:

  • Neurology
  • Radiology
  • Psychiatry

Background:

  • Cervical myelography is an imaging procedure used to visualize the spinal cord.
  • Iohexol is a non-ionic, water-soluble contrast agent commonly used in myelography.

Observation:

  • A case study of a young male patient who underwent cervical myelography with iohexol.
  • The procedure was reported as uneventful, with no immediate complications noted.

Findings:

  • The patient developed transient acute psychosis subsequent to the myelography.
  • This represents a previously undescribed complication associated with iohexol-enhanced cervical myelography.

Implications:

  • Highlights a potential, albeit rare, neuropsychiatric adverse effect of iohexol in cervical myelography.
  • Suggests the need for increased awareness among clinicians regarding this potential complication.
  • Warrants further investigation into the mechanisms and incidence of psychosis following myelography.

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