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American Journal of Roentgenology, Vol 153, Issue 2, 383-385
Copyright © 1989 by American Roentgen Ray Society

Articles

Outpatient myelography with fine-needle technique: an appraisal

JL Vezina, S Fontaine, and J Laperriere

Department of Diagnostic Radiology, Hotel-Dieu of Montreal, Quebec, Canada.

Postmyelography headaches are produced mostly by CSF leakage at the dural puncture site and are therefore largely dependent on the size of the needle used. Our study of 300 consecutive outpatients who had lumbar myelograms performed with 25- and 26-gauge spinal needles shows that the procedure has become virtually innocuous. We recommend that 26-gauge spinal needles be widely adopted as the standard for fluoroscopically controlled intrathecal injections of contrast material.
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Copyright © 1989 by the American Roentgen Ray Society.