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Case Reports
. 2021 Jun 9;9(6):e04195.
doi: 10.1002/ccr3.4195. eCollection 2021 Jun.

Blame it on the pump

Kirk John Levins  1 , Mohamed Khan  2 , Thomas Drago  3 , Elena Roman  4 , Cillian Suiter  1 , Anurag Nasa  3 , Darren William Roddy  3 , Paul Murphy  1
Affiliations
Case Reports

Blame it on the pump

Kirk John Levins et al. Clin Case Rep. .

Abstract

Although intrathecal pumps may lead to spinal symptoms that are likely related to the pump itself, the case presented herein underscores the importance of casting a broad differential diagnosis at the time of initial presentation.

Keywords: granuloma; hematology; intrathecal pump; lymphoma; transverse myelitis.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
T1 and T2 MRI of the spine demonstrating an enhancing intradural extramedullary lesion at the T7 level of the adjacent cord edema
FIGURE 2
FIGURE 2
MRI of 5.3 cm right tonsillar malignancy centered on the right palatine tonsil. This extends inferiorly to abut and displaces the epiglottis with effacement of the right vallecula. There is lateral involvement of the constrictor muscles and extension across the midline
See this image and copyright information in PMC

References

    1. Staats PS. Complications of intrathecal therapy. Pain Medicine. 2008;9(suppl 1):S102‐S107.
    1. Simpson KH, Jones I. Intrathecal drug delivery for management of cancer and noncancer pain. J Opioid Manag. 2008;4(5):293‐304. - PubMed
    1. Cabbell KL, Taren JA, Sagher O. Spinal cord compression by catheter granulomas in high‐dose intrathecal morphine therapy: case report. Neurosurgery. 1998;42(5):1176‐1180. - PubMed
    1. Miele VJ, Price KO, Bloomfield S, Hogg J, Bailes JE. A review of intrathecal morphine therapy related granulomas. Eur J Pain. 2006;10(3):251‐261. - PubMed
    1. Arnold PM, Harsh V, Oliphant SM. Spinal cord compression secondary to intrathecal catheter–induced granuloma: a report of four cases. Evid‐Based Spine‐Care J. 2011;2(1):57. - PMC - PubMed

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