PT - JOURNAL ARTICLE AU - Floras, P AU - Bidabé, A M AU - Caillé, J M AU - Simonnet, G AU - Lecomte, J M AU - Sabathié, M TI - Double-blind study of effects of enkephalinase inhibitor on adverse reactions to myelography. DP - 1983 May 01 TA - American Journal of Neuroradiology PG - 653--655 VI - 4 IP - 3 4099 - http://www.ajnr.org/content/4/3/653.short 4100 - http://www.ajnr.org/content/4/3/653.full SO - Am. J. Neuroradiol.1983 May 01; 4 AB - The side effects in myelography are well known and frequently observed. The most common are headache, nausea, and vomiting. In this study, a rather new compound, Thiorphan, was examined, which displays an antinociceptive activity by inhibiting enkephalinase activity. Forty-two patients received intravenous infusions of Thiorphan before myelography. Another 42 patients were in a control group, and Thiorphan was not administered. In the treated group, postmyelographic headache was found in 24% (versus 52% in the control group). Nausea and vomiting were never seen. Low back pain or sciatica was diminished in 33% of cases. Enkephalin levels in cerebrospinal fluid were measured by a radioreceptor-assay method in both groups without any correlation.