Seizures following myelography with iopamidol

✍ Scribed by Allan I. Levey; Howard Weiss; Robin Yu; Henry Wang; Dr. Allan Krumholz

• Publisher: John Wiley and Sons
• Year: 1988
• Tongue: English
• Weight: 379 KB
• Volume: 23
• Category: Article
• ISSN: 0364-5134
• DOI: 10.1002/ana.410230416

✦ Synopsis

Iopamidol, a water-soluble contrast medium, has been rarely associated with seizures. We describe 3 patients (from a series of 785) who had generalized tonic-clonic seizures after iopamidol myelography. Two of the patients underwent lumbar and one cervical myelography. There was a history of seizures in 2 patients, and the dose of iopamidol used in the patients who convulsed was high, ranging from 3,000 to 4,500 mg iodine. Despite the reported low incidence of complications with iopamidol, seizures may occur, especially in patients with previous seizures and also in those receiving higher doses of iopamidol.