Abstract | OBJECTIVE AND IMPORTANCE: The use of intrathecal morphine has been effective with few complications for chronic intractable pain of both benign and malignant origins. A rare but serious problem that exists is the formation of an inflammatory mass at the catheter tip of the pain pump. CLINICAL PRESENTATION: We report the case of a 67-year-old female patient with failed back syndrome who presented with sensory complaints and back pain. INTERVENTION: Magnetic resonance imaging revealed impingement on the thoracic cord by a mass. The mass was originally thought to be a spinal cord tumor; however, operation and chemical analysis of the mass showed that it was a bupivacaine precipitate at the tip of the catheter of the pain pump. CONCLUSION:
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Authors | Rishi K Wadhwa, Mark R Shaya, Anil Nanda |
Journal | Neurosurgery
(Neurosurgery)
Vol. 58
Issue 2
Pg. E387; discussion E387
(Feb 2006)
ISSN: 1524-4040 [Electronic] United States |
PMID | 16462469
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Calcium Carbonate
- Bupivacaine
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Topics |
- Aged
- Back Pain
(diagnostic imaging, drug therapy)
- Bupivacaine
(administration & dosage)
- Calcium Carbonate
- Diagnosis, Differential
- Female
- Humans
- Infusion Pumps, Implantable
(adverse effects)
- Radiography
- Spinal Cord Compression
(diagnostic imaging, drug therapy)
- Spinal Cord Neoplasms
(diagnostic imaging, drug therapy)
- Syndrome
- Thoracic Vertebrae
(diagnostic imaging, drug effects)
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