Ventriculografia com contraste hidrosolúvel

Novaes, Virgilio; Sebba, Omed; Campos, Jolden

doi:10.1590/S0004-282X1972000200002

Resumos

Após revisão da literatura concernente ao emprego do iotalamato de metilglucamina (IMG) como contraste ventricular, os autores analisam a técnica de execução da ventriculografia e os resultados obtidos em série de 54 pacientes. Ressaltam a qualidade das imagens obtidas e a baixa incidência de reações e complicações diretamente ligadas ao uso do contraste, concluindo pela grande utilidade deste processo no diagnóstico neurocirúrgico.

The results of the use of the methylglucamine salt of the iothalamic acid (MGI) for ventriculography in 54 patients is reported. The technique for serial ventriculography is described being emphasized the high diagnostic quality of x-ray pictures as well the absence of toxic or irritative effects after the use of MGI. This water-soluble contrast has been extremelly helpfull as a diagnostic aid for localizing supra and infratentorial midline lesions as well for III ventricle tracings during stereotaxic surgery.

Ventriculografia com contraste hidrosolúvel

Ventriculography with water soluble contrast media

Virgilio Novaes^I; Omed Sebba^II; Jolden Campos^II

^IDisciplina de Neurocirurgia, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, RJ; Professor e chefe da Disciplina

^IIDisciplina de Neurocirurgia, Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Niterói, RJ; Assistentes

RESUMO

Após revisão da literatura concernente ao emprego do iotalamato de metilglucamina (IMG) como contraste ventricular, os autores analisam a técnica de execução da ventriculografia e os resultados obtidos em série de 54 pacientes. Ressaltam a qualidade das imagens obtidas e a baixa incidência de reações e complicações diretamente ligadas ao uso do contraste, concluindo pela grande utilidade deste processo no diagnóstico neurocirúrgico.

SUMMARY

The results of the use of the methylglucamine salt of the iothalamic acid (MGI) for ventriculography in 54 patients is reported. The technique for serial ventriculography is described being emphasized the high diagnostic quality of x-ray pictures as well the absence of toxic or irritative effects after the use of MGI. This water-soluble contrast has been extremelly helpfull as a diagnostic aid for localizing supra and infratentorial midline lesions as well for III ventricle tracings during stereotaxic surgery.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Disciplina de Neurocirurgia Hospital Universitário Antônio Pedro 24000 Niterói RJ Brasil.

1. ALEXANDER, L.; JUNG, T. S. & LYMAM, R. S. Colloidal thorium dioxide: its use in intracranial diagnosis and its fate on direct injection into the brain and ventricles. Arch. Neurol. Psychiat. 32:1143, 1943.
2. ARNELL, S. Myelography with water soluble contrast. Acta radiolog. supl. 75, 1948.
3. BALADO, M. & CARRILLO, R. Estudio comparativo de los metodos modernos de diagnostico neurocirurgico. Resultados de la ventriculografia com lipiodol. Semana Médica (Buenos Aires) 10: 717, 1935.
4. BAUMGARTNER, J. Confrontation critique de 847 exames radiculographiques avec IMG. Neurochirurgie (Paris) 15 : 503, 1969.
5. BERING, JR. E. Notes on the retention of Pantopaque in the subarachnoid space. Amer. J. Surg. 80: 455, 1950.
6. BULL, J. W. B. Positive contrast ventriculography. Acta radiol. 34 : 253, 1950.
7. CAMPBELL, R. I.; CAMPBELL, J. A.; HEIMBURGER, R. F.; KALSBECK, J. E. & MEALEY, J. Ventriculography and myelography with absorbable medium. Radiology 82 : 286, 1964.
8. CLARCK, R. G.; MILHORAT, T. H.; STANLEY, W. C. & DiCHIRO, G. Experimental Pantopaque ventriculography. J. Neurosurg. 34 : 387, 1971.
9. DANDY, W. E. Ventriculography following the injection of air into the cerebral ventricles. Ann. Surg. 68: 5, 1918.
10. DILENGE, D.; DAVID, M. & TAILARACH, J. Technique de la iodoventriculographie par lipiodol. Ann. Radiolog., 4: 912, 1961.
11. DOTTER, C. T.; STRAUBE, K. R. & BILBAO, M. K. A new contrast medium for intravascular use. Northw. Med 182: 41, 1962.
12. FEINGOLD, A.; ELAM, J. O. & DOBBEN, G. D. Severe muscle spasm after visualization of a subarachnoid catheter. J.A.M.A., 221: 879, 1970.
13. FISHER, R. L. An experimental evaluation of Pantopaque and other recently developed myelographic contrast media. Radiology 85:537, 1965.
14. GONSETTE, R.; DEREYMAEKER, A.; HOU, H. & CORNELLIS, G. L'iodoventriculographie. Acta Neurol. Belg. 58:778, 1968.
15. GONSETTE, R. & ANDRÉ-BALISAUX, G. Experimental and clinical use of usefulness of several water-soluble constrast products. J. Radiol. et Electrolog. 51:19, 1970.
16. GONZALEZ-CORNEJO, S. Conray ventriculography in the diagnosis of intraventricular and posterior fossa lesions. J. Neurosurg. 34:405, 1971.
17. HANDA, J. & HANDA, H. Methylglucamine iothalamate 60% for cerebral ventriculography. Amer. J. Roentg. 107:631, 1969.
18. HEIMBURGER, R. F.; CAMPBELL, R. L. & KALSBECK, J. E. Positive contrast cerebral ventriculography using water soluble media. Confinia Neurol. 28:97, 1966.
19. HEIMBURGER, R. F.; KALSBECK, J. E. & CAMPBELL, R. L. Positive contrast cerebral ventriculography using water soluble media: its clinical evaluation in 102 procedures using IMG. J. Neurol. Neurosurg. Psychiat. 29:281, 1966.
20. HINCH, V. C. & DOTTER, C. T. Cerebral angiography with Conray 60%. J. Neurosurg. 19:312, 1962.
21. HITCHCOOK, E. Stereotaxic cervical mielotomy. J. Neurol. Neurosurg. Psychiat. 33:224, 1970.
22. HORWITZ, N. H. Positive contrast ventriculography. J. Neurosurg. 13:388, 1956.
23. HOWLAND, W. J. & CURRY, J. L. Pantopaque arachnoiditis. Acta radiolog. 5:1032, 1966.
24. HUGHES, R. Chronic changes in the central nervous system following Thorotrast ventriculography. Proc. Royal Soc. Med. (London) 46:191, 1953.
25. ISAMAT, F.; MIRANDA, A. & BARTUMEUS, F. Ventriculographie cerebrale avec contrast positif hydrosoluble. Neurochirurgie (Paris) 16:577, 1970.
26. JAEGER, R. Irritating effects of iodized oils in the brain when divided into small particles. Arch. Neurol. Psychiat. 64:715, 1950.
27. JEFFERSON, A. & OCCLESHAW, J. The identification of pathological process in the posterior fossa by Myodil ventriculography. Acta neurochirurg. (Wien) 8:468, 1960.
28. KANDELL, E. Comunicaçăo pessoal. Abril 1967.
29. KANDELL. E. & PLEVAKO, N. S. Ventriculography with Conray 60. Vop. Neirokhirurg. 30:42, 1966.
30. KODAMA, J. K.; BUTTLER, W. M.; TUSING, T. H. & HALLET, F. P. Iothalamate: a new intravascular radioopaque medium with unusual pharmatoxic inertness. J. Exp. Mol. Patholog. 2:65, 1962.
31. LYSHOLM, E. Das Ventrlkulogramm Acta radiolog. supl. 24-26, 1935.
32. MAYER, W. E.; DANIEL, E. F. & ALLEN, M. B. Acute meningeal reaction following Pantopaque myelography. J. Neurosurg. 34:386, 1971.
33. MARCOVICI, A. W.; WALKER, A. E. & JESSICO, C. M. The immediate and late effect of the intrathecal injection of iodized oil. J.A.M.A. 116:2247, 1941.
34. MASON, M. S. & RAAF, J. Complication of Pantopaque myelography. J. Neurosurg. 19:302, 1962.
35. MEACHAM, W. F. & TOLCHIN, S. The ependimal response to long-term intraventricular Pantopaque. J. Neurol. Neurosurg. Psychiat. 26:55, 1963.
36. PORTERA, A. Pan-ventriculography: a new technique utilizing emulsified Pantopaque. Acta radiolog. 5:693, 1966.
37. RADOVICI, A. & MELLER, O. Essai de liquidographie cephalorachidienne. Bull. Acad. Med. (Paris) 107:314, 1932.
38. RAIMONDI, A.; SAMUELSON, G. H. & YASAGARAY, L. Positive contrast serial ventriculography in the normal and hydrocephalic infant. Ann. Radiolog. 12:377, 1969.
39. SCHECHKER, M. M. & JING, B. S. Improved visualization of the ventricular system with autotomography. Radiology 74:593, 1960.
40. SICARD, J. A. & FORESTIER, J. Roentgenographic exploration of central nervous system with iodized oil. Arch. Neurol. Psychiat. 16: 420, 1926.
41. SICARD, J. A. .& FORESTIER, J. Methode generale d'exploration radiologique par l'huille iodée. Bull. Mem. Soc. Med. Hôp. (Paris) 46:463, 1922.
42. SICARD, J. A.; PARAF, J. & LAPLANE, L. Radiodiagnostic lipiodolé: ponction atloido-occiptalo et cervicale. Présse Méd. (Paris) 31:885, 1923.
43. SMITH, H. Iodoventriculografia. Ed. Científica, Rio de Janeiro, 1944.
44. STUCK, R. M. & REEVES, D. L. Dangerous effects of Thorotrast used intracranially. Arch. Neurol. Psychiat. 40:86, 1938.
45. TARLOV, I. M. Pantopaque meningitis disclosed at operation. J.A.M.A. 129: 1014, 1945.
46. VAILATI, G.; MULLAN, S. & DOBBEN, G. Ventriculogram cerebrale e mielografia medianti nuovo mezzo di contrasto idrosolubile e riassorbibile. Minerva neurochirurg. 9:186, 1965.
47. WILSON, M. & SNODGRASS, S. R. Positive contrast ventriculography. Radiology 72:810, 1959.

Datas de Publicação

Publicação nesta coleção
17 Abr 2013
Data do Fascículo
Jun 1972

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ALEXANDER, L.; JUNG, T. S. & LYMAM, R. S. Colloidal thorium dioxide: its use in intracranial diagnosis and its fate on direct injection into the brain and ventricles. Arch. Neurol. Psychiat. 32:1143, 1943.

[2] 2. ARNELL, S. Myelography with water soluble contrast. Acta radiolog. supl. 75, 1948.

[3] 3. BALADO, M. & CARRILLO, R. Estudio comparativo de los metodos modernos de diagnostico neurocirurgico. Resultados de la ventriculografia com lipiodol. Semana Médica (Buenos Aires) 10: 717, 1935.

[4] 4. BAUMGARTNER, J. Confrontation critique de 847 exames radiculographiques avec IMG. Neurochirurgie (Paris) 15 : 503, 1969.

[5] 5. BERING, JR. E. Notes on the retention of Pantopaque in the subarachnoid space. Amer. J. Surg. 80: 455, 1950.

[6] 6. BULL, J. W. B. Positive contrast ventriculography. Acta radiol. 34 : 253, 1950.

[7] 7. CAMPBELL, R. I.; CAMPBELL, J. A.; HEIMBURGER, R. F.; KALSBECK, J. E. & MEALEY, J. Ventriculography and myelography with absorbable medium. Radiology 82 : 286, 1964.

[8] 8. CLARCK, R. G.; MILHORAT, T. H.; STANLEY, W. C. & DiCHIRO, G. Experimental Pantopaque ventriculography. J. Neurosurg. 34 : 387, 1971.

[9] 9. DANDY, W. E. Ventriculography following the injection of air into the cerebral ventricles. Ann. Surg. 68: 5, 1918.

[10] 10. DILENGE, D.; DAVID, M. & TAILARACH, J. Technique de la iodoventriculographie par lipiodol. Ann. Radiolog., 4: 912, 1961.

[11] 11. DOTTER, C. T.; STRAUBE, K. R. & BILBAO, M. K. A new contrast medium for intravascular use. Northw. Med 182: 41, 1962.

[12] 12. FEINGOLD, A.; ELAM, J. O. & DOBBEN, G. D. Severe muscle spasm after visualization of a subarachnoid catheter. J.A.M.A., 221: 879, 1970.

[13] 13. FISHER, R. L. An experimental evaluation of Pantopaque and other recently developed myelographic contrast media. Radiology 85:537, 1965.

[14] 14. GONSETTE, R.; DEREYMAEKER, A.; HOU, H. & CORNELLIS, G. L'iodoventriculographie. Acta Neurol. Belg. 58:778, 1968.

[15] 15. GONSETTE, R. & ANDRÉ-BALISAUX, G. Experimental and clinical use of usefulness of several water-soluble constrast products. J. Radiol. et Electrolog. 51:19, 1970.

[16] 16. GONZALEZ-CORNEJO, S. Conray ventriculography in the diagnosis of intraventricular and posterior fossa lesions. J. Neurosurg. 34:405, 1971.

[17] 17. HANDA, J. & HANDA, H. Methylglucamine iothalamate 60% for cerebral ventriculography. Amer. J. Roentg. 107:631, 1969.

[18] 18. HEIMBURGER, R. F.; CAMPBELL, R. L. & KALSBECK, J. E. Positive contrast cerebral ventriculography using water soluble media. Confinia Neurol. 28:97, 1966.

[19] 19. HEIMBURGER, R. F.; KALSBECK, J. E. & CAMPBELL, R. L. Positive contrast cerebral ventriculography using water soluble media: its clinical evaluation in 102 procedures using IMG. J. Neurol. Neurosurg. Psychiat. 29:281, 1966.

[20] 20. HINCH, V. C. & DOTTER, C. T. Cerebral angiography with Conray 60%. J. Neurosurg. 19:312, 1962.

[21] 21. HITCHCOOK, E. Stereotaxic cervical mielotomy. J. Neurol. Neurosurg. Psychiat. 33:224, 1970.

[22] 22. HORWITZ, N. H. Positive contrast ventriculography. J. Neurosurg. 13:388, 1956.

[23] 23. HOWLAND, W. J. & CURRY, J. L. Pantopaque arachnoiditis. Acta radiolog. 5:1032, 1966.

[24] 24. HUGHES, R. Chronic changes in the central nervous system following Thorotrast ventriculography. Proc. Royal Soc. Med. (London) 46:191, 1953.

[25] 25. ISAMAT, F.; MIRANDA, A. & BARTUMEUS, F. Ventriculographie cerebrale avec contrast positif hydrosoluble. Neurochirurgie (Paris) 16:577, 1970.

[26] 26. JAEGER, R. Irritating effects of iodized oils in the brain when divided into small particles. Arch. Neurol. Psychiat. 64:715, 1950.

[27] 27. JEFFERSON, A. & OCCLESHAW, J. The identification of pathological process in the posterior fossa by Myodil ventriculography. Acta neurochirurg. (Wien) 8:468, 1960.

[28] 28. KANDELL, E. Comunicaçăo pessoal. Abril 1967.

[29] 29. KANDELL. E. & PLEVAKO, N. S. Ventriculography with Conray 60. Vop. Neirokhirurg. 30:42, 1966.

[30] 30. KODAMA, J. K.; BUTTLER, W. M.; TUSING, T. H. & HALLET, F. P. Iothalamate: a new intravascular radioopaque medium with unusual pharmatoxic inertness. J. Exp. Mol. Patholog. 2:65, 1962.

[31] 31. LYSHOLM, E. Das Ventrlkulogramm Acta radiolog. supl. 24-26, 1935.

[32] 32. MAYER, W. E.; DANIEL, E. F. & ALLEN, M. B. Acute meningeal reaction following Pantopaque myelography. J. Neurosurg. 34:386, 1971.

[33] 33. MARCOVICI, A. W.; WALKER, A. E. & JESSICO, C. M. The immediate and late effect of the intrathecal injection of iodized oil. J.A.M.A. 116:2247, 1941.

[34] 34. MASON, M. S. & RAAF, J. Complication of Pantopaque myelography. J. Neurosurg. 19:302, 1962.

[35] 35. MEACHAM, W. F. & TOLCHIN, S. The ependimal response to long-term intraventricular Pantopaque. J. Neurol. Neurosurg. Psychiat. 26:55, 1963.

[36] 36. PORTERA, A. Pan-ventriculography: a new technique utilizing emulsified Pantopaque. Acta radiolog. 5:693, 1966.

[37] 37. RADOVICI, A. & MELLER, O. Essai de liquidographie cephalorachidienne. Bull. Acad. Med. (Paris) 107:314, 1932.

[38] 38. RAIMONDI, A.; SAMUELSON, G. H. & YASAGARAY, L. Positive contrast serial ventriculography in the normal and hydrocephalic infant. Ann. Radiolog. 12:377, 1969.

[39] 39. SCHECHKER, M. M. & JING, B. S. Improved visualization of the ventricular system with autotomography. Radiology 74:593, 1960.

[40] 40. SICARD, J. A. & FORESTIER, J. Roentgenographic exploration of central nervous system with iodized oil. Arch. Neurol. Psychiat. 16: 420, 1926.

[41] 41. SICARD, J. A. .& FORESTIER, J. Methode generale d'exploration radiologique par l'huille iodée. Bull. Mem. Soc. Med. Hôp. (Paris) 46:463, 1922.

[42] 42. SICARD, J. A.; PARAF, J. & LAPLANE, L. Radiodiagnostic lipiodolé: ponction atloido-occiptalo et cervicale. Présse Méd. (Paris) 31:885, 1923.

[43] 43. SMITH, H. Iodoventriculografia. Ed. Científica, Rio de Janeiro, 1944.

[44] 44. STUCK, R. M. & REEVES, D. L. Dangerous effects of Thorotrast used intracranially. Arch. Neurol. Psychiat. 40:86, 1938.

[45] 45. TARLOV, I. M. Pantopaque meningitis disclosed at operation. J.A.M.A. 129: 1014, 1945.

[46] 46. VAILATI, G.; MULLAN, S. & DOBBEN, G. Ventriculogram cerebrale e mielografia medianti nuovo mezzo di contrasto idrosolubile e riassorbibile. Minerva neurochirurg. 9:186, 1965.

[47] 47. WILSON, M. & SNODGRASS, S. R. Positive contrast ventriculography. Radiology 72:810, 1959.