Spinal cord compression from intrathecal catheter-tip inflammatory mass: Case report and a review of etiology

Regional Anesthesia and Pain Medicine

Volumn 29, Issue 3, 2004, Pages 237-242

  Peng, Philip ^a,b   Massicotte, Eric M ^a  

^a UNIVERSITY OF TORONTO   (Canada)

^b TORONTO WESTERN HOSPITAL   (Canada)

Author keywords

Complications; Granuloma; Hydromorphone; Inflammatory mass; Intraspinal drug therapy; Intrathecal catheter

Indexed keywords

CLONIDINE; HYDROMORPHONE; MORPHINE; OPIATE;

ADULT; CASE REPORT; CATHETER; COMPUTER ASSISTED TOMOGRAPHY; DRUG DELIVERY SYSTEM; DRUG MEGADOSE; FOREIGN BODY REACTION; GRANULOMA; HUMAN; IMPLANTATION; INFLAMMATION; MALE; MYELOGRAPHY; NERVE FUNCTION; PRIORITY JOURNAL; PUMP; REVIEW; SPINAL CORD COMPRESSION;

EID: 2542469740     PISSN: 10987339     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.rapm.2004.01.012     Document Type: Article

References (20)

1. Wallace M, Yaksh TL. Long-term spinal analgesic delivery: A review of the preclinical and clinical literature. Reg Anesth Pain Med 2000;25:117-157.
2. North RB, Cutchis PN, Epstein JA, Long DM. Spinal cord compression complicating subarachnoid infusion of morphine: Case report and laboratory experience. Neurosurgery 1991;29:778-784.
3. Yaksh TL, Hassenbusch S, Burchiel K, Hildebrand KR, Page LM, Coffey RJ. Inflammatory masses associated with intrathecal drug infusion: A review of preclinical evidence and human data. Pain Medicine 2002;3:300-312.
4. Fernandez J, Madison-Michael L, Feler CA. Catheter tip granuloma associated with sacral region intrathecal drug administration. Neuromodulation 2003;6:225-228.
5. McMillan MR, Doud T, Nugent W. Catheter-associated masses in patients receiving intrathecal analgesic therapy. Anesth Analg 2003;96:186-190.
6. Hassenbusch SJ, Portenoy RK. Current practices in intraspinal therapy - A survey of clinical trends and decision-making. J Pain Symptom Manage 2000;20:S4-11.
7. Aldrete JA, Vascello LA, Ghaly R, Tomlin D. Paraplegia in a patient with an intrathecal catheter and a spinal cord stimulator. Anesthesiology 1994;81:1542-1545.
8. Coffey RJ, Burchiel K. Inflammatory mass lesions associated with intrathecal drug infusion catheters: Report and observations on 41 patients. Neurosurgery 2002;50:78-87.
9. Follett KA. Intrathecal analgesia and catheter-tip inflammatory masses [editorial]. Anesthesiology 2003;99:5-6.
10. Gradert TL, Baze WB, Satterfield WC, Hildebrand KR, Joansen MJ, Hassenbusch SJ. Safety of chronic intrathecal morphine infusion in a sheep model. Anesthesiology 2003;99:188-198.
11. Yaksh TL, Horais KA, Tozier NA, Allen JW, Rathburn M, Rossi SS, Sommer C, Meschter C, Richter PJ, Hildebrand KR. Chronically infused intrathecal morphine in dogs. Anesthesiology 2003;99:174-187.
12. Blount JP, Remley KB, Yue SK, Erickson DL. Intrathecal granuloma complicating chronic spinal infusion of morphine. J Neurosurg 1996;84:272-276.
13. McIvor J, Krajbich JI, Hoffman H. Orthopedic complication of lumboperitoneal shunts. J Pediatr Orthop 1988;8:687-689.
14. Jones TF, Feler CA, Simmons BP, Melton K, Craig AS, Moore WL, Smith MD, Schaffner W. Neurological complications including paralysis after a medication error involving implanted intrathecal catheters. Am J Med 2002;112:31-36.
15. Sabbe MB, Grafe MR, Mjanger E, Tiseo PJ, Hill HF, Yaksh TL. Spinal delivery of sufentanil, alfentanil, and morphine in dogs. Physiologic and toxicologic investigations. Anesthesiology 1994;81:899-920.
16. Gretiz D, Franck A, Nordel B. On the pulsatile nature of the intracranial and spinal CSF-circulation demonstrated by MR imaging. Acta Radiol 1993;34:321-328.
17. Thomsen C, Stahlbberg F, Stubgaard M, Nordell B. Fourier analysis of cerebrospinal fluid flow velocities: MR imaging study. The Scandinavian Flow Group. Radiology 1990;177:659-665.
18. Rigler ML, Drasner K, Krejcie TC, Yelich SJ, Scholnick FT, DeFontes J, Bohner D. Cauda equina syndrome after continuous spinal anesthesia. Anesth Analg 1991;72:275-281.
19. Glantz MJ, Hall WA, Cole BF, Chozick BS, Shannon CM, Wahlberg L, Akerley W, Marin L, Choy H. Diagnosis, management, and survival of patients with leptomeningeal cancer based on cerebrospinal fluid-flow status. Cancer 1995;75:2919-2931.
20. Hassenbusch S, Burchiel K, Coffey RJ, Cousins MJ, Deer T, Hahn MB, Du Pen S, Follett KA, Krames E, Rogers JN, Sagher O, Staats PS, Wallace M, Willis D. Management of intrathecal catheter-tip inflammatory mass: A consensus statement. Pain Med 2002;3:313-323.