Abstract
Myelography with the water-soluble, non-ionic contrast medium Amipaque has given rise to decisive advances in the diagnosis of cervical myelopathy. The possibility of discerning excellent detail of anatomical structures in the spinal canal (this applies even for vessels) permits exact visualization of pathological changes. Since the amount and concentration of the contrast medium have a critical influence on side effects, they should be kept as low as possible. This is achieved via the lateral approach at C 1/2 by fractionated administration, and ideal positioning of the patient without tilting. As can be seen from Table 1, the high frequency of examinations in the meantime shows that the diagnostic value of this procedure has been recognized by clinicians.
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References
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Vogelsang, H., Schmidt, R.C. (1980). Indications, Results and Adverse Effects of Cervical Myelography with Amipaque (Study on 300 Examinations). In: Grote, W., Brock, M., Clar, HE., Klinger, M., Nau, HE. (eds) Surgery of Cervical Myelopathy. Advances in Neurosurgery, vol 8. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67605-5_2
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DOI: https://doi.org/10.1007/978-3-642-67605-5_2
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