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Author Re: Paraplegia secondary to progressive necrotic myelopathy in a patient with an impla
DoctorShame

2005-09-23, 7:29 pm

OG,

What if you knew that there was going to be this complication say
in 1985. How many lives would you have prevented from going down the
shitter?

Neurosurgery. 1985 Jan;16(1):68-70.

Fibrous mass complicating epidural morphine infusion.

Rodan BA, Cohen FL, Bean WJ, Martyak SN.

The benefits of continuous epidural morphine infusion using an
implanted pump delivery system to control intractable cancer pain have
recently been described. Most articles on this subject relate to
dosage, technique, degree of pain relief, and tolerance. There are some
anticipated complications of the treatment related to the surgical
implantation of the system and drug toxicity. We present a complication
presumably related to the epidural catheter. A fibrous reaction that
developed around the catheter tip progressed into a mass. This caused a
significant displacement of the spinal cord with the development of
long tract symptoms. Identification of this abnormality using
myelography and computed tomography led to prompt surgical
decompression resulting in improvement of the patient's condition.

Publication Types:

* Case Reports


PMID: 3883219 [PubMed - indexed for MEDLINE]

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