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  • Title: Post-myelography paraplegia in a woman with thoracic stenosis.
    Author: Soliman HM, Arnold PM, Madarang EJ.
    Journal: J Spinal Cord Med; 2013 May; 36(3):247-9. PubMed ID: 23809597.
    Abstract:
    CONTEXT: Myelography is a commonly performed diagnostic test used to assess spine pathology. Complications are unusual and usually self-limited. We report a rare case of transient paraplegia following myelography in a woman with thoracic stenosis. FINDINGS: A 51-year-old woman, 20 months status post-thoracic laminectomy, presented with progressive lower extremity weakness. The patient underwent myelography and post-myelography CT, and became paraplegic after the lumbar injection. Intravenous steroids were administered and a lumbar puncture was performed. The patient's neurologic function returned to baseline over the next 96 hours. CONCLUSION AND CLINICAL RELEVANCE: Myelography is generally a safe procedure, but on rare occasions serious complications can arise. Therapeutic maneuvers may be helpful in reversing neurologic deficit.
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