Intrathecal pump catheter-tip granuloma recurrence with associated myelomalacia – How safe is intrathecal analgesic infusion therapy? A case report

BACKGROUND: A serious complication of intrathecal (IT) infusion therapy for pain management is catheter-tip-associated granuloma. Catheter-tip granulomas can lead to permanent severe neurological sequelae if not promptly detected. CASE DESCRIPTION: We report a patient with a recurrence of a catheter...

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Detalles Bibliográficos
Autores principales: Haering, Moritz, Saleh, Christian, Jaszczuk, Phillip, Koehler, Markus, Hund-Georgiadis, Margret
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6744822/
https://www.ncbi.nlm.nih.gov/pubmed/31528400
http://dx.doi.org/10.25259/SNI-33-2019
Descripción
Sumario:BACKGROUND: A serious complication of intrathecal (IT) infusion therapy for pain management is catheter-tip-associated granuloma. Catheter-tip granulomas can lead to permanent severe neurological sequelae if not promptly detected. CASE DESCRIPTION: We report a patient with a recurrence of a catheter-tip granuloma causing a high-grade paresis of the lower extremities and we review briefly the literature. CONCLUSION: Patients with IT pump therapy presenting new neurological findings need prompt imaging of the spinal axis to rule out a catheter-tip granuloma. In case of catheter-tip granuloma, early surgical decompression is important.

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