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Elliot M. Perlman, MD; David Barry, MD
Providence, RI

Arch Ophthalmol. 1984;102(7):968.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—We recently saw a patient whose clinical findings seem to corroborate the opinion of Miller et al¹ regarding bilateral sixth-nerve palsy as a rare complication of water-soluble myelography. They thought that this clinical syndrome was not limited to a specific type of contrast agent. It was subsequently pointed out by Baker² that all the patients of Miller had received iophendylate, which is not water-soluble.

Report of a Case.

—A 36-year-old man sustained a whiplash-type injury in July 1983, and he subsequently complained of intermittent left arm weakness. He underwent myelography in November 1983, performed with a 21-gauge needle using metrizamide as the contrast agent. The patient experienced a severe, postmyelography headache. One week after myelography, he noted the onset of horizontal diplopia. His visual acuity was 6/6 OU. He had 40 diopters of esotropia in primary gaze with almost complete bilateral abduction deficits. Forced duction . . . [Full Text PDF of this Article]

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