[Myelography of lumbar spinal canal stenosis: complication of methylglucamine iocarmate (Dimer-X) and iophendylate (Myodil) (author's transl)].
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Biomedical subjects
Publications and source records attributed to J Ishikawa.
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A ruptured saccular aneurysm of the azygos pericallosal artery was found and clipped successfully in a woman of 47 years. Aneurysm of an azygos pericallosal artery is extremely rare.
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An unusual case of injury to the upper cervical spinal cord is reported. A 62-year-old woman had been treated with acupuncture for stiffness of the muscles of her neck four to five years before she developed gradually progressive hypalgesia and hypothermesthesia over the right half of her body. Radiological examination and CT scan revealed the broken tip of an acupuncture needle between the first and second cervical vertebrae. The needle was removed. There was a moderate recovery of sensation.
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Within the past 6 months we paid special attention to the superior facet syndrome on examining the patients with lumbar pain at the outpatient clinic. Out of 264 patients who complained of lumbago or sciatica, this syndrome was suspected in three patients and verified in all of them by operation. Neurologically it was difficult to differentiate this syndrome from disc protrusion or other related conditions. On the other hand, plain roentgenographic examinations were valuable: horizontal portion of the superior facet was larger and thicker than normal so that the a-p view of the lumbar spine showed a large bulbous processes joining in the frontal plane, and a narrowing of the interlaminal spaces was seen in some case. A differential diagnosis between this syndrome and the major type of lumbar canal stenosis can be made by means of dynamic myelography. Although the myelography with watersoluble contrast medium reveals nerve roots better than Myodil myelography, identification of the nerve roots at the lateral recesses is not necessarily easy, and the final diagnosis has to be made at operation.
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