Spinal cord compression in a patient with a pain pump for failed back syndrome: A chalk-like precipitate mimicking a spinal cord neoplasm: Case report

Rishi K. Wadhwa, Mark R. Shaya, Anil Nanda

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

OBJECTIVE AND IMPORTANCE: The use of intrathecal morphine has been effective with few complications for chronic intractable pain of both benign and malignant origins. A rare but serious problem that exists is the formation of an inflammatory mass at the catheter tip of the pain pump. CLINICAL PRESENTATION: We report the case of a 67-year-old female patient with failed back syndrome who presented with sensory complaints and back pain. INTERVENTION: Magnetic resonance imaging revealed impingement on the thoracic cord by a mass. The mass was originally thought to be a spinal cord tumor; however, operation and chemical analysis of the mass showed that it was a bupivacaine precipitate at the tip of the catheter of the pain pump. CONCLUSION: This is the first such case, to our knowledge, of a bupivacaine precipitate mimicking a spinal cord tumor.

Original languageEnglish (US)
Pages (from-to)E387.1-E387.4
JournalNeurosurgery
Volume58
Issue number2
DOIs
StatePublished - Feb 1 2006
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Keywords

  • Inflammatory mass
  • Morphine pump
  • Spinal cord compression

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