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Intrathecal Morphine Therapy‐Related Granulomas: Faster to Grow than Thought
Authors:Vincent Jourdain BSc  Léo Cantin MD  Michel Prud’Homme MD  PhD  Marie‐Pierre Fournier‐Gosselin MD
Affiliation:1. Service de Neurochirurgie Fonctionnelle, H?pital de l’Enfant‐Jésus, Québec, Québec, Canada;2. Centre Hospitalier de l’Université de Sherbrooke, Sherbrooke, Québec, Canada
Abstract:Complications of intrathecal drug delivery are relatively rare. Of these, infections, cutaneous erosion, and granulomas account for the most common complications. The latter is often noticed when the patient shows signs of sedation and/or reduced pain relief. Granulomas have always been considered to develop over a long period of time, usually calculated in months. Here, we present a case where a catheter‐tip granuloma formed within 5 weeks of intrathecal morphine. The patient was carrying an intrathecal pump for 3 months when it was diagnosed. Probable causes of the formation are discussed.
Keywords:Chronic pain  complications  infusion pump  intrathecal granuloma  intrathecal therapy
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