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Laterale C1/C2-Punktion: Darstellung der Technik und Ergebnisse der ersten 100 Patienten

Lateral C1/2 puncture: technique and results of the first hundred patients

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Zusammenfassung

Trotz Verbesserung der wasserlōslichen Kontrastmittel bestehen immer noch neurotoxische Nebenwirkungen. Um einerseits die Kontrastmittelmenge gering zu halten (8 ml; 300 mg Jod/ml) und gleichzeitig eine ausreichende Darstellung des zervikalen Subarachnoidaraumes zu erzielen, führen wir eine laterale C1/C2-Punktion durch. Bei den ersten 100 Patienten unserer Serie gab es weder von seiten der Punktion noch von seiten des Kontrastmittels ernstliche Schweirigkeiten.

Summary

Although there are considerable improvements in watersoluble contrast agents, there still exists a neurotoxical side effect. For need of little dye amounts but good visualisation of cervical subarachnoid space, we perform C1/2 lateral puncture. In our serie of 100 cases there were no major problems, neither from dye-side effects nor from puncture.

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Literatur

  1. Amundsen, P., Skalpe, I. O.: Cervical myelography with a water-soluble contrast medium (metrizamide). A preliminary clinical report with special reference to technical aspects. Neuroradiol. 8, 209 (1975).

    Article  Google Scholar 

  2. Bassi, P., Cecchini, A., Dettori, P., Signorini, F.: Myelography with Iopamidol, a nonionic watersoluble contrast medium: Incidence of Complications. Neuroradiol. 24, 85 (1982).

    Article  CAS  Google Scholar 

  3. Belloni, Gr., Bonaldi, G., Moschini, L., Quilici, N.: Cervical Myelography with Iopamidolo. Neuroradiol. 21, 97 (1981).

    Article  CAS  Google Scholar 

  4. Carella, A., Federico, F., Di Cuonzo, F., Vinjau, E., Lamerti, P.: Adverse side effects of Metrizamide and Jopamidolo in Myelography. Neuroradiol. 22, 247 (1982).

    Article  CAS  Google Scholar 

  5. Chehrazi, B., Virapongse, Ch.: Transient encephalopathy and asterixis following metrizamide myelography. J. Neurosurg. 55, 826 (1981).

    PubMed  CAS  Google Scholar 

  6. Daryer, P., Warner, M., Sudilovsky, A., Luther, J., Wilkins, R., Allen, S., Bates, M.: Jopamidol Vs Metrizamide: a double blind study for cervical myelography. Neurodiol. 24, 77 (1982).

    Article  Google Scholar 

  7. Gebarski, S., Gabrielsen, T., Knake, J., Latack, J., Hoff, J.: Johexol versus Metrizamide for lumbal Myelography: preliminary report of a double-blind trial. Neurosurg. 14, 19 (1984).

    Article  CAS  Google Scholar 

  8. Gonsette, Re.: Metrizamide as contrast medium for myelography and ventriculography. Preliminary clinical experiences. Acta Radiol. (Suppl.) 385, 346 (1973).

    Google Scholar 

  9. Manelfe, C., Treil, J., Bonafé, A.: Myelographie cervicale au métrizamide par voie latérale en C1-C2. Nouv. Presse Méd. 7, 657 (1978).

    PubMed  CAS  Google Scholar 

  10. Manelfe, Cl. Morel, Cl. Adam Ph., Rascol, A., Guiraud, P.: Passage transcortical du métrizamide. Mise en évidence par tomodensitométrie. Nouv. Presse Méd. A paraitre: 1979.

  11. Maravilla, K., Neuwelt, E., Diehl, J. T.: Application of Metrizamide in the radiographic evaluation of the neurologically diseased patient. Neurosurg. 5, 389 (1979).

    Article  CAS  Google Scholar 

  12. Mullan, S., Harper, P. V., Hekmatpanah, J., Torres, H., Dobben, G.: Percutaneous interruption of spinalpain tracts by mean of a Strontium90 needle. J. Neurosurg. 20, 931 (1963).

    PubMed  CAS  Google Scholar 

  13. Nakstad, P., Aaserud, O., Helgeveit, A., Nyberg-Hansen, R., Ganes, T., Bach-Gansmo, T.: Cervical myelography with Iohexol. Neuroradiol. 26, 123 (1984).

    Article  CAS  Google Scholar 

  14. Picard, L., Vespignani, H., Vieux-Rochat, P., Moret, C., L'Esperance, G., Montaut, J., Weber, M., Roland, J.: Complications neurologiques graves des myélographies au Métrizamide. A propos de huit observations. J. Neuroradiol. 6, 3 (1979).

    PubMed  CAS  Google Scholar 

  15. Rogers, L.: Acute subdural hematoma and death following lateral cervical spinal puncture. J. Neurosurg. 58, 284 (1983).

    Article  PubMed  CAS  Google Scholar 

  16. Rosomoff, H. L., Caroll, L., Brown, J., Sheptak, P.: Percutaneous radiofrequency cervical chordotomy: Technique. J. Neurosurg. 23, 639 (1965).

    PubMed  CAS  Google Scholar 

  17. Takahashi, T., Inao, O., Nakamura, K., Tajima, M.: Metrizamide cervical Myelography using Gitroscope VS-10. Neurol. Med. Chir. (Tokyo) 22, 917 (1982).

    Article  CAS  Google Scholar 

  18. Teasdale, E., MacPherson, P.: Incidence of side effects following direct puncture cervical myelography. Neuroradiol. 25, 85 (1983).

    Article  CAS  Google Scholar 

  19. Vogelsang, H., Schmidt, R.: Cervical myelogiraphy using. Metrizamide and lateral C1-C2 approach. Acta Radiol. (Suppl.) (Stockholm) 355, 164 (1977).

    CAS  Google Scholar 

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Authors and Affiliations

  1. Neurochirurgische Universitätsklinik, Alser Straße 4, A-1090, Wien

    E. Knosp, B. Richling & A. Horaczek

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  1. E. Knosp
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  2. B. Richling
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  3. A. Horaczek
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Knosp, E., Richling, B. & Horaczek, A. Laterale C1/C2-Punktion: Darstellung der Technik und Ergebnisse der ersten 100 Patienten . Acta Chir Austriaca 16, 81–84 (1984). https://doi.org/10.1007/BF02656232

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  • DOI: https://doi.org/10.1007/BF02656232

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