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Radiology, Vol 157, 391-393, Copyright © 1985 by Radiological Society of North America

ARTICLES

Outpatient lumbar myelography. Initial results in 79 examinations using a low-dose metrizamide technique

CF Tate 3d, HR Wilkov, NR Lestrange, HF Gardiner and KR Stein

Seventy-nine patients underwent lumbar myelography on an outpatient basis, with a low (3.75 g) dose of metrizamide as the radiocontrast agent and a 25-gauge spinal needle used for lumbar puncture. No patient experienced significant neurotoxicity following the examination; 70.8% (56 of 79) experienced minimal (23%) or no (48%) side effects. Three patients (3.8%) were admitted to the hospital for management of common side effects (headache, nausea/vomiting, back pain). We obtained postmyelographic computed tomographic scans on 96% (76 of 79) of the patients. Our initial results suggest that outpatient lumbar myelography is safe and can be performed with a very acceptable incidence of side effects.


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