{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T23:10:40Z","timestamp":1782169840136,"version":"3.54.5"},"reference-count":15,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,25]]},"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>Transient spinal shock is a previously unreported complication of intrathecal contrast. A 63-year-old man presented with the chief complaint of worsening back pain. Computed topography of lumbar spine without contrast showed a lytic lesion. After international normalized ratio (INR) correction, patient was sent for CT myelogram. After intrathecal contrast injection, the patient dropped his blood pressure profoundly and developed clinical manifestations of spinal shock. Emergent intravenous bolus fluids were initiated resulting in improvement in blood pressure. Patient\u2019s spinal shock resolved within hours. CT myelogram was normal except previously known lytic lesion. It was concluded that the transient shock was most likely due to contrast injection. We believe that this is the first reported case of transient spinal shock following CT myelogram using water-soluble iodinated non-ionic contrast agent administered intrathecally.<\/jats:p>","DOI":"10.1136\/bcr-2020-237610","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T18:18:21Z","timestamp":1608661101000},"page":"e237610","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Intrathecal iodinated contrast-induced transient spinal shock"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9644-1588","authenticated-orcid":false,"given":"Abhi Chand","family":"Lohana","sequence":"first","affiliation":[{"name":"Jinnah Sindh Medical University, Karachi, Sindh, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9745-2366","authenticated-orcid":false,"given":"Sejal","family":"Neel","sequence":"additional","affiliation":[{"name":"Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7601-8985","authenticated-orcid":false,"given":"Vishal","family":"Deepak","sequence":"additional","affiliation":[{"name":"Pulmonary and Critical Care Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Schauer","sequence":"additional","affiliation":[{"name":"Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,12,21]]},"reference":[{"key":"2025082709202917000_13.12.e237610.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2012.01.012"},{"key":"2025082709202917000_13.12.e237610.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tox.2004.12.020"},{"key":"2025082709202917000_13.12.e237610.3","doi-asserted-by":"publisher","DOI":"10.2967\/jnmt.107.047621"},{"key":"2025082709202917000_13.12.e237610.4","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1348885"},{"key":"2025082709202917000_13.12.e237610.5","unstructured":"Spinal Shock . 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