A forty-eight year old woman presented with convulsive status epilepticus and respiratory arrest 45 minutes after a lumbar myelogram with iopamidol. Status epilepticus in epileptic patients are very rare complication after myelography with iopamidol and to our knowledge status epilepticus in non epileptic patients have been previously reported only in one patient. Although it is a rare complication, physicians should be aware of this potential complication, myelogram should be performed in a full organized hospital. It will be better to observe patients carefully after the procedure. Introduction Iopamidol is a non ionic, water soluble contrast media, frequently used in myelography. Iopamidol myelography is associated with a risk of seizures in non-epileptic individuals[12345] and may induce status epilepticus (SE) in epileptic patients[2]. We report that iopamidol myelography can induce SE in non-epileptic individuals. Case Report A 48-year-old female patient with the history of spondilolisthesis was admitted to the hospital for a lumbar myelogram as a part of an investigation for intractable back pain. The patient’s past medical history and medications was unremarkable except of this spondilolisthesis with instrumentation which is incompatible for MRI. There was no family history of seizure. Complete blood count and metabolic profile including calcium and function liver tests were normal. Forty five minutes after the injection of iopamidol the patient had generalized weakness, nausea and generalized tonic-clonic seizure of one minute duration. Subsequent to this convulsive seizure at some stage in the recording of EEG (Figure1) patient had two more seizures without improving consciousness.
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