Journal of Clinical Case Reports

Department of Anesthesia, Mater Misericordiae University Hospital, Dublin, Ireland

Publications

• Case Report   
  Blame it on the Pump
  Author(s): Kirk J. Levins*
  
  Intrathecal drug delivery a method of directly administering opioid and spasmolytic medication to the site of action, the spinal cord. Efficacy and safety of this delivery system is well documented in cancer pain, spasticity as well as non-malignant pain. However, there are a number of recognised potential complications with this therapy. One of the most serious of which is the formation of a granuloma occurring at the intrathecal catheter tip, which appears to be related to the concentration and drug type being delivered. Evidence has indicated that delivery of high dose morphine can lead to the formation of these granulomas. Occurring in less than 3% of all patients with an intrathecal catheter, granulomas can present as an inflammatory mass on imaging with some resulting in compression of the spinal cord. Patients may present with a host of neurological symptoms dependent on the lo.. Read More»
  DOI: 10.37421/2165-7920.2020.10.1396

  Abstract HTML PDF