iothalamate-meglumine and Femoral-Neck-Fractures

Topics: Arthroplasty, Replacement, Hip; Contrast Media; Epilepsies, Myoclonic; Femoral Neck Fractures; Hip Prosthesis; Humans; Iothalamate Meglumine; Male; Middle Aged; Range of Motion, Articular; Treatment Outcome

This paper discusses two cases of bilateral subcapital fracture of the proximal femur as a complication of myelography with Conray 60. The literature is reviewed.

Topics: Adult; Female; Femoral Neck Fractures; Femur Head Necrosis; Femur Neck; Hip Prosthesis; Humans; Iothalamate Meglumine; Male; Muscle Spasticity; Myelography; Pseudarthrosis

Convulsions and fracture of the neck of the femur following myelography with Conray and Dimer X are reported in two patients with a gross post-tuberculous gibbus deformity of the thoracic spine. The possible causes of the increased risk associated with myelography of the patients with gibbus are discussed.

Topics: Femoral Neck Fractures; Humans; Iothalamate Meglumine; Male; Middle Aged; Myelography; Seizures; Spinal Diseases

We have taken myelograms of six patients with grave post-tuberculous thoracic gibbus of the spine and gross deformity of the thoracic cage. Two of these patients suffered violent convulsions and fracture of the neck of the femur. In one patient the myelogram was taken with Conray Meglumine and in another with Dimer X. We suggest that a grave deformity of the thoracic cage is a relative contraindication for lumbar myelography with these water-soluble contrast media. We assume that the reduced tissue oxygenation in these patients results in a lower threshold for convulsions.

Topics: Femoral Neck Fractures; Humans; Iothalamate Meglumine; Metrizamide; Myelography; Seizures; Spinal Diseases; Spine

Topics: Adult; Femoral Neck Fractures; Humans; Iothalamate Meglumine; Male; Myelography; Myoclonus; Solubility; Water