Permanent monoparesis in a dog after intramedullary injection of iohexol into the lumbar spinal cord

$61.74 plus tax (Refund Policy)

Buy Article:


CASE HISTORY: An 8-year-old, spayed, Doberman Pinscher bitch presented for assessment of acute hindlimb paresis.

CLINICAL FINDINGS: During a lumbar myelographic contrast study a small volume of iohexol contrast agent was inadvertently injected into the cord parenchyma. After surgical hemilaminectomy for an intervertebral disc extrusion at L1–2 the dog recovered use of one hindlimb, but had ongoing extensor weakness of the left hindlimb. Left femoral nerve function had not returned after 14 months.

DIAGNOSIS: EMG findings 14 months after the incident indicated persistent femoral neuropathy consistent with the intramedullary contrast injection at L3–4.

CLINICAL RELEVANCE: Inadvertent deposition of iohexol into spinal cord parenchyma may be rare, but if it occurs it can have long-lasting consequences.

Keywords: iatrogenic; intramedullary; iohexol; myelography; neuropathy; paresis

Document Type: Research Article


Affiliations: Massey University Veterinary Teaching Hospital, Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Private Bag 11-222Palmerston North,4442, New Zealand

Publication date: January 1, 2013

More about this publication?
Related content

Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more