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Barbara M. Weissman, MD

Arch Neurol. 1984;41(5):569-570.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

After metrizamide myelography, a patient experienced an unusual delayed adverse reaction that consisted of mental status changes, meningismus, headache, fever, and corticosteroid dependency.

REPORT OF A CASE

A 38-year-old man with an S-1 radiculopathy was hospitalized for a reevaluation. Twenty-one months earlier the presence of a herniated disk at L5-S1 had been confirmed by metrizamide myelography. A subsequent right hemilaminectomy did not provide symptomatic relief, and postoperative metrizamide myelogram 15 months before the present hospitalization was reported to be normal. During the present admission, prior to injection of metrizamide (10 mL, 190 mg of iodine per milliliter), the CSF was clear, with two WBCs (all lymphocytes) and two RBCs per cubic millimeter and a protein level of 56 mg/dL. The myelogram revealed no important abnormality and was technically uneventful. The patient was ambulatory immediately following the procedure but was closely observed for the next 24 hours. His vital signs and . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Neurology, Case Western Reserve University School of Medicine, Cleveland, and the Neurology Service, Cleveland Veterans Administration Medical Center.

Footnotes
Accepted for publication July 20, 1983.

Reprint requests to Department of Neurology, University Hospitals of Cleveland, Cleveland, OH 44106 (Dr Weissman).

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