Literature DB >> 8366232

Intrathecal injection of high-dose meglumine amidotrizoate with complete recovery.

K Maruyama1, Y Setoguchi, J Maruyama, T Shimizu, H Chikusa, M Takeuchi, Y Ogihara, M Muneyuki.   

Abstract

Rarely we are faced with accidental spinal injection of potentially toxic substances. We present 2 cases in which amidetrizoate, water-soluble ionic contrast medium, was accidentally injected intrathecally. Our treatment consisted of vigorous hydration and barbiturate coma. This report suggests that for water-soluble ionic contrast media increasing cerebrospinal fluid circulation by vigorous hydration may be as effective as spinal lavage in diminishing toxicity.

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Year:  1993        PMID: 8366232     DOI: 10.1007/bf01694776

Source DB:  PubMed          Journal:  Intensive Care Med        ISSN: 0342-4642            Impact factor:   17.440


  7 in total

1.  Possible causes of complications of myelography with water-soluble contrast medium.

Authors:  D G Potts; D G Gomez; G F Abbott
Journal:  Acta Radiol Suppl       Date:  1977

2.  Cranial and spinal cerebrospinal fluid absorption and the clearance of water-soluble myelographic contrast media. A review.

Authors:  D G Potts; D G Gomez; D D Shaw
Journal:  Invest Radiol       Date:  1985 Jan-Feb       Impact factor: 6.016

3.  Inadvertent intrathecal administration of amidetrizoate.

Authors:  K Nakazawa; M Yoshinari; S Kinefuchi; K Amaha
Journal:  Intensive Care Med       Date:  1988       Impact factor: 17.440

4.  Natural history of lactic acidosis after grand-mal seizures. A model for the study of an anion-gap acidosis not associated with hyperkalemia.

Authors:  C E Orringer; J C Eustace; C D Wunsch; L B Gardner
Journal:  N Engl J Med       Date:  1977-10-13       Impact factor: 91.245

5.  Fatal complications after myelography with meglumine diatrizoate.

Authors:  M J Hilz; W Huk; B Schellmann; F Sörgel; K F Druschky
Journal:  Neuroradiology       Date:  1990       Impact factor: 2.804

Review 6.  Lactate homeostasis and lactic acidosis.

Authors:  R A Kreisberg
Journal:  Ann Intern Med       Date:  1980-02       Impact factor: 25.391

7.  Comparative neurotoxicity of angiographic contrast media.

Authors:  R Velaj; B Drayer; R Albright; E Fram
Journal:  Neurology       Date:  1985-09       Impact factor: 9.910

  7 in total

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