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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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
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author Haering, Moritz
Saleh, Christian
Jaszczuk, Phillip
Koehler, Markus
Hund-Georgiadis, Margret
author_facet Haering, Moritz
Saleh, Christian
Jaszczuk, Phillip
Koehler, Markus
Hund-Georgiadis, Margret
author_sort Haering, Moritz
collection PubMed
description 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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spelling pubmed-67448222019-09-16 Intrathecal pump catheter-tip granuloma recurrence with associated myelomalacia – How safe is intrathecal analgesic infusion therapy? A case report Haering, Moritz Saleh, Christian Jaszczuk, Phillip Koehler, Markus Hund-Georgiadis, Margret Surg Neurol Int 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-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. Scientific Scholar 2019-04-24 /pmc/articles/PMC6744822/ /pubmed/31528400 http://dx.doi.org/10.25259/SNI-33-2019 Text en Copyright: © 2019 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Haering, Moritz
Saleh, Christian
Jaszczuk, Phillip
Koehler, Markus
Hund-Georgiadis, Margret
Intrathecal pump catheter-tip granuloma recurrence with associated myelomalacia – How safe is intrathecal analgesic infusion therapy? A case report
title Intrathecal pump catheter-tip granuloma recurrence with associated myelomalacia – How safe is intrathecal analgesic infusion therapy? A case report
title_full Intrathecal pump catheter-tip granuloma recurrence with associated myelomalacia – How safe is intrathecal analgesic infusion therapy? A case report
title_fullStr Intrathecal pump catheter-tip granuloma recurrence with associated myelomalacia – How safe is intrathecal analgesic infusion therapy? A case report
title_full_unstemmed Intrathecal pump catheter-tip granuloma recurrence with associated myelomalacia – How safe is intrathecal analgesic infusion therapy? A case report
title_short Intrathecal pump catheter-tip granuloma recurrence with associated myelomalacia – How safe is intrathecal analgesic infusion therapy? A case report
title_sort intrathecal pump catheter-tip granuloma recurrence with associated myelomalacia – how safe is intrathecal analgesic infusion therapy? a case report
topic Case Report
url 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
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