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Contrast Radiography Of the Spinal Cord
GIOVANNI DI CHIRO, MD;
ROBERT L. FISHER, MD
Arch Neurol. 1964;11(2):125-143.
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"... the spinal subarachnoid space was full of air, and in this column of air the shadow of the spinal cord was very distinct."—Dandy
So wrote Dandy29 in his classical report in 1919 to open the new field of contrast radiographic investigation—spinal cord myelography.* Two years later, myelography was first used to diagnose spinal tumors.62,144 Subsequently, many different contrast media were introduced—iodized oils121 (1922), methiodal6 (1931), colloidal thorium dioxide108 (1932), iodophendylate (Pantopaque)109,128 (1944), meglumine iothalamate (Conray)25 (1962) and SH—617L 140,150 (1963)—many technical refinements of the procedures occurred,99,111 and the radiographic findings in pathological conditions were thoroughly described.23,83,99,102,142
It has, thus, become possible to localize spinal tumors by a number of methods with a high degree of accuracy (Table 1). Atrophic conditions of the cord have also been recognized radiographically (Table 2). Despite these developments, however, early expansive or atrophie alterations
. . . [Full Text PDF of this Article]
Author Affiliations
BETHESDA, MD
From the Neuroradiological Section, National Institute of Neurological Diseases and Blindness, National Institutes of Health, Public Health Service.
Footnotes
Submitted for publication March 6, 1964; accepted April 10.
The term, spinal cord myelography, may appear redundant. So often myelography is performed without studying the cord, however, that the use of this pleonasm seemed appropriate in a paper dealing primarily with the spinal cord.
For structure see Table 12.
References 3, 16, 27, 30, 66, 139, and 141.
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