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MYOCLONIC STATUS EPILEPSY SEEN SECONDARY TO IOHEXOL MYELOGRAPHY: A Case Report

  • Ali KURTSOY
  • Hidayet AKDEMİR
  • İ. Suat ÖKTEM
  • Ahmet MENKÜ
  • R. Kemal KOÇ
  • Vatan TAYFUR

J Turk Spinal Surg 2000;11(4):61-63

Although it is accepted that iohexol is a contrast substance dissoiving in vvater, it is aiso reported that some rare complications like headache, vomiting, confusion, tonic-cionic convulsions which are associated with the medicine are seen. Shortly after a 45 year-old-female patient who was admitted to Department of Neurosurgery of Erciyes University Medical Faculty for the examination and treatment of her low back and leg pain was given 10 mİ, of 300 mg/ml iohexol (omnipaque) for lumbar myelography, the picture of myo-clonic status epilepsy deveioped. The patient was discharged from the hospital on day 15 on recovery from status epilepsy by intensive medicai treatment. To our know!edge, only one case, vvhich deveioped status epilepsy fol!owing myelography associated vvith iohexol, has been reported till now.

In this study, myo-clonic status vvhich deveioped foliovving iohexol lumbar myelography has been discussed together vvith the literatüre on the difficulties of epilepsy in treatment.

Keywords: Contrast material, lohexol, Lumbar myelograhy, Status epilepticus