Paraplegia secondary to progressive necrotic myelopathy in a patient with an implanted morphine pump

American Journal of Physical Medicine and Rehabilitation

Volumn 84, Issue 3, 2005, Pages 193-196

  Levin, German Z ^a,c   Tabor, Dale R ^b  

^a MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

^b RALPH H JOHNSON VA MEDICAL CENTER   (United States)

^c E Tennessee Brain and Spine Center   (United States)

Author keywords

Granuloma; Implanted Morphine Pump; Intrathecal Catheter; Necrotic Myelopathy; Neurologic Complications; Paraplegia

Indexed keywords

MORPHINE; OPIATE;

ADULT; ANALGESIA; ARTICLE; CASE REPORT; CHRONIC PAIN; CONSTIPATION; DISEASE COURSE; DRUG DELIVERY SYSTEM; HUMAN; IMPLANTATION; LOW BACK PAIN; MALE; MYELITIS; NECROSIS; NECROTIZING MYELOPATHY; NEUROLOGIC DISEASE; NUCLEAR MAGNETIC RESONANCE IMAGING; PARALYSIS; PARAPLEGIA; PUMP; QUALITY OF LIFE; SIDE EFFECT; SOMNOLENCE; SPINAL CORD DISEASE; TREATMENT OUTCOME; VISUAL ANALOG SCALE;

ANALGESICS, OPIOID; CHRONIC DISEASE; HUMANS; INFUSION PUMPS, IMPLANTABLE; INJECTIONS, SPINAL; LOW BACK PAIN; MALE; MIDDLE AGED; MORPHINE; MYELITIS, TRANSVERSE; PARAPLEGIA;

EID: 13844294316     PISSN: 08949115     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.PHM.0000154897.26835.81     Document Type: Article

References (13)

1. Coombs DW, Fine N: Spinal anesthesia using subcutaneously implanted pumps for intrathecal drug infusion. Anesth Analg 1991:73:226-31
2. Coffrey RJ, Burchiel K: Inflammatory mass lesion associated with intrathecal drug infusion catheters: Report and observation of 41 patients. Neurosurgery 2002;50:78-87
3. Dawson DM, Potts FM: Acute nontraumatic myelopathies, in Woolsey RM, Young RR (eds): Neurology Clinics: Disorders of Spinal Cord. Philadelphia, WB Sounders, 1991, pp 551-603
4. Katz JD, Ropper AH: Progressive necrotic myelopathy. Arch Neurol 2000;57:355-61
5. Cabbell KL, Taren JA, Sagher O: Spinal cord compression by catheter granulomas in high-dose intrathecal morphine: Case report. Neurosurgery 1998;42:1176-81
6. Blount JP, Remley KB, Yue SK, et al: Intrathecal granuloma complicating chronic spinal infusion of morphine. J Neurosurg 1996;84:272-6
7. Shell MG, Mitchell HL, Loes MW, et al: Conversion disorder presenting in a patient with implantable morphine pump and an epidural abscess resulting in paraplegia. Arch Phys Med Rehabil 1997;78:226-9
8. Winkelmuller M, Winkelmuller W: Long term effect of continuous intrathecal opioid treatment in chronic pain of non-malignant etiology. J Neurosurg 1996;85:458-67
9. Jones TF, Feller GA, Simmons BP, et al: Neurological complications including paralysis after a medication error involving implanted intrathecal catheters. Am J Med 2002;112:31-6
10. Kakinohana M, Fuchigami T, Nakamura S, et al: Intrathecal administration of morphine, but not small dose, induced spastic paraparesis after noninjurious interval of aortic occlusion in rats. Anesth Analg 2003;96:769-75
11. Sjoberg M, Karlson PA, Nordborg C, et al: Neurologic findings after long-term intrathecal infusion of morphine and bupivacaine for pain treatment in cancer patients. Anesthesiology 1992;76:173-86
12. Christinsen PB, Wermuth L, Hinge HH, et al: Clinical course and long term prognosis of acute transverse myelopathy. Acta Neurol Scand 1990;81:431-5
13. Bryce TN, Ragnarsson KT: Pain after spinal cord injury. Phys Med Rehabil Clin North Am 2000;11:157-68