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April 1967

Neurologic Deficits Following Myelography

Author Affiliations

Iowa City
From the Department of Neurology, University Hospitals, Iowa City.

Arch Neurol. 1967;16(4):410-414. doi:10.1001/archneur.1967.00470220074008

While some complications of myelography have been enumerated,1,2 little has been written about the changes in neurologic state which may appear at the time of this procedure or soon thereafter.3,4 Case histories of three patients affected with spinal cord dysfunction as a result of degenerative disk disease and spondylosis will be presented. An additional case with spondylotic compression of the cauda equina will be described. Increased neurologic deficits followed myelography in all instances. Possible mechanisms of these unfortunate and rare complications will be discussed.

Report of Cases  CASE 1.—A 57-year-old man related a history of progressive paresis soon after he fell as he stepped out of his car. Within an hour he was aware of numbness in both hands. He continued to work into the next week despite increasing weakness of his left leg which caused several falls. Three weeks later he was unable to climb stairs

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