ArticleAsian journal of neurosurgery2012
Role of conventional lumbar myelography in the management of sciatica: An experience from Pakistan.
Article in Asian journal of neurosurgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 6 citations in OpenAlex.
- Article
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- Describing a new syndrome in L5-S1 disc herniation: Sexual and sphincter dysfunction without pain and muscle weakness.Journal of craniovertebral junction & spine · 2014Article
- Neglected knowledge: Asymmetric features of lumbar disc disease.Asian journal of neurosurgeryArticle
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1 author at 1 institution in 1 country.
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Abstract
objectivesA prospective study of 80 patients suffering from sciatica was conducted at Fauji Foundation Hospital, Rawalpindi, Pakistan. The aim of this study was to select patients for lumbar myelography on clinical grounds in the absence of magnetic resonance imaging (MRI)/computerized tomography (CT) facilities and to know the causes of sciatica. MATERIALS AND
methodsAll patients underwent conventional lumbar myelography due to lack of MRI facility at a local hospital as well as financial constraints. Myelography was done with radio-opaque dye, Iopamidol, on outpatient basis
resultsLumbar myelograms were positive in 77.5% and negative in 22.5% cases. Minor complications in the form of headache developed in 32.5% patients but no major complication like meningitis and archnoiditis developed. Lumbar disc prolapse and stenosis were found to be common causes of sciatica. Non-filling of nerve roots was seen in 33.87%, blocks (complete/partial) in 54.83%, and stenosis in 11.29% patients.
conclusionsConventional myelography was found to be safe and an informative diagnostic technique in areas where facility of high-tech investigations like CT/MRI was not available. Conventional lumbar myelography could be recommended and performed with confidence on outdoor basis, in cases of sciatica with positive straight leg raising test, reflex loss, sensory, or motor deficit.
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