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Journal of Korean Neurosurgical Society > Volume 12(4); 1983 > Article
Journal of Korean Neurosurgical Society 1983;12(4): 589-597.
A Clinical Trial of Iopamidol Myelography in 27 Cases.
Young Rak Yoo, Nam Kyu Kim, Hwan Yung Chung
Department of Neurosurgery, College of Medicine, Hanyang University, Seoul, Korea.
ABSTRACT
27 Myelographies with Iopamidol and 27 myelographies with metrizamide were performed in order to compare adverse reactions, radiographic quality and effects on vital signs of the two contrast media after injection into the spinal subarachnoid space. Headache and nausea were less severe using Iopamidol. The most striking difference was found in adverse neurobehavioral reactions and associated electroencephalographic abnormalities which were noted in 7.4% of the metrizamide group but were not seen with the use of Iopamidol. Iopamidol was more stable than metrizamide in CSF. Image quality and diagnostic accuracy of Iopamidol myelography was equivalent to metrizamide for intrathecal application.
Key Words: Iopamidol; Metrizamide; Myelography; Neurobehavioral reactions; Image quality
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