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Case Reports
. 2024 Nov 7;16(11):e73240.
doi: 10.7759/cureus.73240. eCollection 2024 Nov.

Intrathecal Fentanyl Pump Placement in a Patient With Chronic Pain Caused by Hereditary Multiple Exostoses: A Case Report

Hayden Tageant  1 , Corrie N Jackson  1 , Giustino Varrassi  2 , Alberto Pasqualucci  3 , Sahar Shekoohi  4 , Alan D Kaye  4
Affiliations
Case Reports

Intrathecal Fentanyl Pump Placement in a Patient With Chronic Pain Caused by Hereditary Multiple Exostoses: A Case Report

Hayden Tageant et al. Cureus. .

Abstract

Hereditary multiple exostoses (HME) is a genetic disorder defined by the formation of benign bone tumors known as exostoses, which can lead to chronic pain and functional impairment. This case report details a 57-year-old man with a long-standing history of severe diffuse bone pain attributed to HME. Despite various treatments, his pain remained poorly controlled until an intrathecal pump with fentanyl was implanted. This intervention significantly improved his pain management and overall quality of life. The manuscript explores clinical presentation, diagnostic approach, and treatment outcomes, highlighting the challenges and benefits of intrathecal drug delivery systems in managing refractory pain associated with HME.

Keywords: chronic pain management; fentanyl; hereditary multiple exostoses; intrathecal pump; multiple osteochondromas; pain.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. LSUHSC Shreveport issued approval STUDY00002824. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Bone masses in the patient with HME, illustrating (A) the left lower extremity and (B) the right arm as examples of bone lesions associated with the condition.
HME: Hereditary Multiple Exostoses
See this image and copyright information in PMC

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