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Research ArticleSpine

Safety of Consecutive Bilateral Decubitus Digital Subtraction Myelography in Patients with Spontaneous Intracranial Hypotension and Occult CSF Leak

M.C. Pope, C.M. Carr, W. Brinjikji and D.K. Kim
American Journal of Neuroradiology October 2020, 41 (10) 1953-1957; DOI: https://doi.org/10.3174/ajnr.A6765
M.C. Pope
aDepartment of Radiology, Mayo Clinic, Rochester, Minnesota
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C.M. Carr
aDepartment of Radiology, Mayo Clinic, Rochester, Minnesota
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W. Brinjikji
aDepartment of Radiology, Mayo Clinic, Rochester, Minnesota
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D.K. Kim
aDepartment of Radiology, Mayo Clinic, Rochester, Minnesota
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Article Figures & Data

Tables

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    Table 1:

    Number of procedures with adverse effects recorded

    TypeNo. of Procedures (% of Total)P Value
    Day 1 (n = 68)Day 2 (n = 68)Day 3 (n = 136)
    Major adverse effect0 (0)0 (0)0 (0)
     Local bleeding0 (0)0 (0)0 (0)
     Local infection0 (0)0 (0)0 (0)
     Seizures0 (0)0 (0)0 (0)
     Acute radiation injury0 (0)0 (0)0 (0)
    Minor adverse effect28 (41.2)26 (38.2)54 (39.7)P = .730
     Subdural injection5 (7.4)4 (5.9)9 (6.6)P = .753
     Pain21 (30.9)16 (23.5)37 (27.2)P = .335
     Nausea5 (7.4)6 (8.8)11 (8.1)P = .753
     Transient neurologic effect3 (4.4)4 (5.9)7 (5.1)P = .698
    • View popup
    Table 2:

    Volume of injectate in patients experiencing transient neurologic adverse effects

    PatientDay 1 Volume (mL)Day 2 Volume (mL)Symptom/Sign
    A2031aSyncope
    B3341aAutonomic disturbance
    C2641aAltered mental status
    D2141aAutonomic disturbance
    E27a52Syncope
    F61a31Vertigo
    G43a33Altered mental status
    • ↵a Occurrence of transient neurologic adverse effects.

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American Journal of Neuroradiology: 41 (10)
American Journal of Neuroradiology
Vol. 41, Issue 10
1 Oct 2020
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Cite this article
M.C. Pope, C.M. Carr, W. Brinjikji, D.K. Kim
Safety of Consecutive Bilateral Decubitus Digital Subtraction Myelography in Patients with Spontaneous Intracranial Hypotension and Occult CSF Leak
American Journal of Neuroradiology Oct 2020, 41 (10) 1953-1957; DOI: 10.3174/ajnr.A6765

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Safety of Consecutive Bilateral Decubitus Digital Subtraction Myelography in Patients with Spontaneous Intracranial Hypotension and Occult CSF Leak
M.C. Pope, C.M. Carr, W. Brinjikji, D.K. Kim
American Journal of Neuroradiology Oct 2020, 41 (10) 1953-1957; DOI: 10.3174/ajnr.A6765
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