Intracranial iodinated contrast medium deposits 50 years following a previous myelography: A case report and literature review

Imad-eddine Sahri, MD; Hanae Ramdani, MD; Zakaria Chandid Tlemcani, MD; Zakaria Abide, MD; Mohssani Mohammed, MD; Sofia El akroud, MD; ElAsri Abad Cherif, MD; Gazzaz Miloudi, MD

Radiology Case Reports (Sep 2023)

Intracranial iodinated contrast medium deposits 50 years following a previous myelography: A case report and literature review

Imad-eddine Sahri, MD,
Hanae Ramdani, MD,
Zakaria Chandid Tlemcani, MD,
Zakaria Abide, MD,
Mohssani Mohammed, MD,
Sofia El akroud, MD,
ElAsri Abad Cherif, MD,
Gazzaz Miloudi, MD

Affiliations

Imad-eddine Sahri, MD: Neurosurgery Department – Mohammed V Military Hospital -Rabat, Souissi St-10100, Rabat, Morocco; Corresponding author.
Hanae Ramdani, MD: Radiology Department – Mohammed V Military Hospital -Rabat, Rabat, Morocco
Zakaria Chandid Tlemcani, MD: Neurosurgery Department – Mohammed V Military Hospital -Rabat, Souissi St-10100, Rabat, Morocco
Zakaria Abide, MD: Radiology Department – Mohammed V Military Hospital -Rabat, Rabat, Morocco
Mohssani Mohammed, MD: Neurosurgery Department – Mohammed V Military Hospital -Rabat, Souissi St-10100, Rabat, Morocco
Sofia El akroud, MD: Neurosurgery Department – Mohammed V Military Hospital -Rabat, Souissi St-10100, Rabat, Morocco
ElAsri Abad Cherif, MD: Neurosurgery Department – Mohammed V Military Hospital -Rabat, Souissi St-10100, Rabat, Morocco
Gazzaz Miloudi, MD: Neurosurgery Department – Mohammed V Military Hospital -Rabat, Souissi St-10100, Rabat, Morocco

Journal volume & issue: Vol. 18, no. 9
pp. 2876 – 2879

Abstract

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Before the advent of CT and MRI, and since the early 1920s, myelography has been used for the diagnosis of spinal cord lesions and lumbar disc herniations. We report a case of an 86-year-old man with a migration of lipiodol in the intracranial subarachnoid spaces. The patient had undergone a myelography in the early 1970s, 50 years earlier. Lipiodol, an iodized oil, was widely used as a contrast agent in conventional myelography for years and provided excellent radiographic visualization of the subarachnoid spaces. Although rare, images of its residues may still be encountered in modern radiographic imaging. Neurosurgeons and radiologists should be aware of this imaging appearance, and be able to differentiate it from possible pathologies.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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