Acknowledgement of technical assistance to technical staff of the Veterinary Teaching Hospital, Large animal house officers.
STANDING MYELOGRAPHY IN THE HORSE USING A NONIONIC CONTRAST AGENT
Article first published online: 22 OCT 2007
© Copyright 2007 by the American College of Veterinary Radiology
Veterinary Radiology & Ultrasound
Volume 48, Issue 6, pages 535–538, November–December 2007
How to Cite
ROSE, P. L., ABUTARBUSH, S. M. and DUCKETT, W. (2007), STANDING MYELOGRAPHY IN THE HORSE USING A NONIONIC CONTRAST AGENT. Veterinary Radiology & Ultrasound, 48: 535–538. doi: 10.1111/j.1740-8261.2007.00291.x
Supported by internal research funding Atlantic Veterinary College University of Prince Edward Island.
- Issue published online: 22 OCT 2007
- Article first published online: 22 OCT 2007
- Received February 5, 2007; accepted for publication March 27, 2007.
Standing myelography in the horse has been previously described. In that study, metrizamide was used and significant complications were reported. In recent years, the introduction of less-toxic nonionic contrast media has reduced the incidence of complications. This study was undertaken to determine whether standing myelography using a nonionic contrast medium could provide a diagnostic study and be performed safely in the equine patient. Standing myelography was performed in eight horses. The contrast medium used was iohexol. In five horses a myelogram of diagnostic quality was achieved; in one horse contrast flowed only to the level of C6 and in two horses contrast medium did not reach the cervical subarachnoid space. Owing to the difficulty in achieving good flow of the contrast medium in some horses, this procedure may be of limited utility. However, if puncture of the lumbosacral subarachnoid space can be achieved easily and quickly, standing myelography may be a clinically useful procedure. It may be attempted in cases in which the economic value of the patient makes myelography under general anesthesia impractical. In patients presenting for evaluation of ataxia it may be possible to perform a standing myelogram at the time of CSF sample collection from the lumbosacral space.