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KMID : 0377619760310050553
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Korean Jungang Medical Journal
1976 Volume.31 No. 5 p.553 ~ p.558
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Diagnostic Significance of the Cervical Epidural Venography by the Injection of the Contrast Medium into the Vertebral Body
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Abstract
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Contrast roentgenography in the diagnosis of various cervical intraspinal lesions can be performed without utilizing the subarachnoid space. A total of 24 cervical epidural venography was performed by the injection of the contrast medium into the vertebral body. These findings were analyzed and compared with 20 Pantopaque myelography and in 17 cases, surgery was performed providing an opportunity to confirm these findings ;
A 19-gauge lumbar puncture needle was used for venographic intraosseus contrast injection. In most instances the fifth cervical vertebra was punctured.
In comparison with the intraspinous injection after Schobinger, injection into vertebral body after Greitz showed the better visualization off the internal and external vertebral venous plexi and provided definite diagnostic, aids, in the diagnosis of the intraspinal tumors.
In the diagnosis of ruptured cervical discs, the reliability of epidural, venography was of equal range in comparison to myelography. Although experience with intraspinal tumors was limited, cervical intramedullary glioma was also demonstrable on the venogram, and this method seems to be a preferable diagnostic procedure for the diagnosis of extramedullary tumors such as neurofibroma, meningiomas and metastatic tumors.
In the case of brachial plexus avulsion, intraosseous venography offered almost the same diagnostic accuracy as Pantopaque myelography.
Although observations are limited in certain categories of the lesions, it is my present feeling that cervical epidural venography might be one of the diagnostic method which could replace myelography in certain conditions.
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