Case Report
BibTex RIS Cite
Year 2018, Volume: 52 Issue: 3, 167 - 169, 01.09.2018

Abstract

References

  • 1. Ramsey GH, French JD, Strain WH. Iodinated organic compounds as contrast media for radiographic diagnoses. IV. Pantopaque myelography. Radiology 1944; 43: 236-40. 2. Steinhausen TB, Dungan CE, Furst JB, Plati JT, Smith SW, Darling AP, Wolcott EC, Warren SL, Strain WH. Iodinated organic compounds as contrast media for radiographic diagnoses. III. Experimental and clinical myelography with ethyl iodophenylundecylate (Pantopaque). Radiology 1944; 43: 230-4. 3. Hill CA, Hunter JV, Moseley IF, Kendall BE. Does myodil introduced for ventriculography lead to symptomatic lumbar arachnoiditis? Br J Radiol 1992; 65: 1105-7. 4. Kanikadaley V. Residual intradural oil-based contrast agent: a case report. GMJ 2015; 4: S29-S35. 5. Barsoum AH, Cannillo KL. Thoracic constrictive arachnoiditis after Pantopaque myelography report of two cases. Neurosurgery 1980; 6: 314-6. 6. Hoffman GS, Ellsworth CA, Wells EE, Franck WA, Mackie RW. Spinal arachnoiditis. What is the clinical spectrum? II. Arachnoiditis induced by Pantopaque/autologous blood in dogs, a possible model for human disease. Spine (Phila Pa 1976) 1983; 8: 541-51. 7. Shah J, Patkar D, Parmar H, Prasad S, Varma R. Arachnoiditis associated with arachnoid cyst formation and cord tethering following myelography: magnetic resonance features. Australas Radiol 2001; 45: 236-9. 8. Oo M, Wang Z, Sakakibara T, Kasai Y. Magnetic resonance imaging findings of remnants of an intradural oil-based contrast agent: report of a case. J Spinal Cord Med 2012; 35: 187-90. 9. Hwang SW, Bhadelia RA, Wu J. Thoracic spinal iophendylate-induced arachnoiditis mimicking an intramedullary spinal cord neoplasm. Case report. J Neurosurg Spine 2008; 8: 292-4. 10. Mason MS, Raaf J. Complications of pantopaque myelography. Case report and review. J Neurosurg 1962; 19: 302-11. 11. Wang SC, Lu PS, Wu PW, Yeh CH, Wang CJ, Chang CC. Intracranial migration of iophendylate four decades after conventional myelography. Br J Neurosurg 2018; 32: 299-300. 12. Gopalakrishnan CV, Mishra A, Thomas B. Iophendylate myelography induced thoracic arachnoiditis, arachnoid cyst and syrinx, four decades later. Br J Neurosurg 2010: 24: 711-3. 13. Rahimizadeh A, Rahimizadeh A. Imaging features of retained subdural pantopaque 28 years after myelography. WScJ 2012; 3: 15-8. 14. Deep NL, Patel AC, Hoxworth JM, Barrs DM. Pantopaque contrast mimicking intracanalicular vestibular schwannoma. Laryngoscope 2017; 127: 1916-9.

Unusual radiographic images of radiopaque contrast media incidentally observed in intracranial region: two case reports

Year 2018, Volume: 52 Issue: 3, 167 - 169, 01.09.2018

Abstract

DOI: 10.26650/eor.2018.532


The oil-based contrast medium has extremely
slow clearance rate from cerebrospinal fluid. 
The medium known as myodil or pantopaque or iopenydylate was firstly
introduced in 1944 to be used in myelography, cisternography and
ventriculography. It was commonly used until 1980s but was later replaced by
water-soluble mediums in 1990s because of its complication and sequelae.
Although rare, images of the remnants may still be encountered on radiograms
since its remnants may be seen after six decades. In this article, incidental
radiopaque images in panoramic radiography and cone-beam computed tomography
(CBCT) were presented in two patients whose myelography was taken before
herniated discs’ operation. Unusual incidental radiopacities in intracranial
region were observed on panoramic radiography image of a male and CBCT image of
a female, both of whom underwent myelography more than 30 years ago.
Dentomaxillofacial radiologists should be aware of this radiographic appearance,
should be able to differentiate it from possible pathologies.

References

  • 1. Ramsey GH, French JD, Strain WH. Iodinated organic compounds as contrast media for radiographic diagnoses. IV. Pantopaque myelography. Radiology 1944; 43: 236-40. 2. Steinhausen TB, Dungan CE, Furst JB, Plati JT, Smith SW, Darling AP, Wolcott EC, Warren SL, Strain WH. Iodinated organic compounds as contrast media for radiographic diagnoses. III. Experimental and clinical myelography with ethyl iodophenylundecylate (Pantopaque). Radiology 1944; 43: 230-4. 3. Hill CA, Hunter JV, Moseley IF, Kendall BE. Does myodil introduced for ventriculography lead to symptomatic lumbar arachnoiditis? Br J Radiol 1992; 65: 1105-7. 4. Kanikadaley V. Residual intradural oil-based contrast agent: a case report. GMJ 2015; 4: S29-S35. 5. Barsoum AH, Cannillo KL. Thoracic constrictive arachnoiditis after Pantopaque myelography report of two cases. Neurosurgery 1980; 6: 314-6. 6. Hoffman GS, Ellsworth CA, Wells EE, Franck WA, Mackie RW. Spinal arachnoiditis. What is the clinical spectrum? II. Arachnoiditis induced by Pantopaque/autologous blood in dogs, a possible model for human disease. Spine (Phila Pa 1976) 1983; 8: 541-51. 7. Shah J, Patkar D, Parmar H, Prasad S, Varma R. Arachnoiditis associated with arachnoid cyst formation and cord tethering following myelography: magnetic resonance features. Australas Radiol 2001; 45: 236-9. 8. Oo M, Wang Z, Sakakibara T, Kasai Y. Magnetic resonance imaging findings of remnants of an intradural oil-based contrast agent: report of a case. J Spinal Cord Med 2012; 35: 187-90. 9. Hwang SW, Bhadelia RA, Wu J. Thoracic spinal iophendylate-induced arachnoiditis mimicking an intramedullary spinal cord neoplasm. Case report. J Neurosurg Spine 2008; 8: 292-4. 10. Mason MS, Raaf J. Complications of pantopaque myelography. Case report and review. J Neurosurg 1962; 19: 302-11. 11. Wang SC, Lu PS, Wu PW, Yeh CH, Wang CJ, Chang CC. Intracranial migration of iophendylate four decades after conventional myelography. Br J Neurosurg 2018; 32: 299-300. 12. Gopalakrishnan CV, Mishra A, Thomas B. Iophendylate myelography induced thoracic arachnoiditis, arachnoid cyst and syrinx, four decades later. Br J Neurosurg 2010: 24: 711-3. 13. Rahimizadeh A, Rahimizadeh A. Imaging features of retained subdural pantopaque 28 years after myelography. WScJ 2012; 3: 15-8. 14. Deep NL, Patel AC, Hoxworth JM, Barrs DM. Pantopaque contrast mimicking intracanalicular vestibular schwannoma. Laryngoscope 2017; 127: 1916-9.
There are 1 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

İlkay Peker

Berrin Çelik This is me

Umut Pamukçu This is me

Özlem Üçok This is me

Publication Date September 1, 2018
Submission Date October 25, 2017
Published in Issue Year 2018 Volume: 52 Issue: 3

Cite

EndNote Peker İ, Çelik B, Pamukçu U, Üçok Ö (September 1, 2018) Unusual radiographic images of radiopaque contrast media incidentally observed in intracranial region: two case reports. European Oral Research 52 3 167–169.