Intrathecal X-ray contrasting

This is a prospective study on the intrathecal application of a nonionic, water-soluble contrast medium with the generic name Jopamidol (Jopamirosup(R)). Between January 1982 and June 1983 2040 patients were examined. On this collective 2014 myelographies and 26 CAT cisternographies, 20 of which were liquor circulation tests, were carried through. By means of the demonstration of nerve rootlets and pockets it was proved that it is possible to recognize the most minute details. Thus also the smallest pathological alterations are covered. Serious complications are avoided by a refined technique. The paper describes the technique of myelography and the handling cisternoventriculography. For intrathecal contrasting for the purpose of CAT scanning in the spinal and cranial area nonionic contrast medium is exclusively suited. The same is tone of functional investigations of liquor dynamics. Jopamidol is recommended by its good tolerance. Sampling of and chemical tests with liquor a week after the myelography with Jopamidol revealed only slight disturbances of the barrier function. A comparison with a collective of 1000 persons who received a lipoid contrast medium applied intrathecally showed only a slight and negligible increase in the temporary side-effects observed for Jopamidol. This result is confirmed by diagnostic controls of liquor. (orig*