A 66-year old female with sudden oblique double vision, isolated left IV nerve palsy and bilateral peripheral vestibular dysfunction. Previous history significant for hypertension, colonic polyps and degenerative joint disease of the spine which required several surgeries.
Pathology
Focal and neurologic deficits caused from adverse effects of iophendylate deposition.
Disease/Diagnosis
Focal neurologic deficits from deposits of iophendylate in subarachnoid space
Clinical
N/A
Presenting Symptom
Diplopia; Impaired balance
Neuroimaging
MRI
Treatment
Surgery
Date
2007-02
References
1. Junck L, Marshall WH. Neurotoxicity of radiocontrast agents. Ann Neurol 13:469-484, 1983. 2. Pascuzzi RM, Roos KL, Scott JA. Chronic focal seizure disorder as a manifestation of intracranial iophendylate. Epilepsia 29:294-296, 1988. 3. Mizuno M, Yamasoba T, Nomura Y. Vestibular disturbance after myelography. Contrast media in the internal auditory canal. ORL 54:113-115, 1992. 4. Wong CK, Woo E, Yu YL. Iophendylate-induced basal arachnoiditis. Clin Exp Neurol 54:199-204, 1992. 5.Tabbador K.Unusual complications of iophendylate injection myelography. Arch Neurol 29:435-36, 1973.
Language
eng
Format
video/mp4
Type
Image/MovingImage
Source
39th Annual Frank Walsh Society Meeting
Relation is Part of
NANOS Annual Meeting Frank B. Walsh Sessions; 2007
