Contrast-induced central nervous system toxicity after radiographic evaluation of the lower urinary tract in myelodysplastic patients with ventriculoperitoneal shunts.
case_report · Level V
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Abstract
Routine urological evaluation of children with myelomeningocele helps to identify those at risk for upper urinary tract deterioration. We report on 2 patients with ventriculoperitoneal shunts who had intraperitoneal rupture of the bladder. Reflux of contrast media via or around the ventriculoperitoneal shunt into the cerebral ventricles occurred in both patients, resulting in severe neurological insult.
Medical subject headings
- Brain Diseases
- Contrast Media
- Extravasation of Diagnostic and Therapeutic Materials
- Meningomyelocele
- Urethra
- Urinary Bladder
- Ventriculostomy