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Severe Headache after Intrathecal Pump Implantation; A Case Report
척수강 내 약물주입펌프 삽입술 후 발생한 두통; 증례보고 - 척수강 내 카테터 삽입과 관련된 합병증

첫 페이지 보기
  • 발행기관
    대한척추통증학회 바로가기
  • 간행물
    Pain Bulletin 바로가기
  • 통권
    Vol. 2 No. 1 (2023.06)바로가기
  • 페이지
    pp.14-18
  • 저자
    Jang Ho Hur, Yehun Jin, Daehyun Kim
  • 언어
    한국어(KOR)
  • URL
    https://www.earticle.net/Article/A480180

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원문정보

초록

영어
Intrathecal morphine pump (IT-pump) has been known as an effective treatment of chronic cancer pain. There are some complications of IT-pump implantation such as wound infection, cerebrospinal fluid (CSF) leakage causing intracranial hypotension, catheter-related problems, but uncommon. We report the case of 65-year-old male with bladder cancer. The patient had no underlying disease other than receiving conservative treatment for chronic headache of unknown cause 7 years ago. IT-pump was implanted due to pain in the left lower extremity and low back that did not resolve even with high doses of opioid analgesics. Headache occurred on the 1st day after the procedure, but with conservative treatment, the headache disappeared on the 2nd day but there was only mild neck stiffness. At 2 weeks after the procedure, severe headache and altered mentality were seen, and chronic subdural hemorrhage (SDH) was confirmed bilaterally on the non-contrast computed tomography scan of brain. After Burr hole trephination, the patient's symptoms improved. After one month, the patient no longer complained of headache. In addition, pain in the left lower extremity was alleviated, reducing the need for opioid analgesics and not affecting daily life. SDH is a complication that must be considered in patients who have undergone IT-pump implantation because it can cause neurological problems. SDH is known to be caused by CSF leak. A better prognosis can be expected if the patient complains of symptoms and is identified early and appropriately treated.

목차

Abstract
증례보고
고찰
참고문헌

키워드

Intrathecal pump Cerebrospinal fluid leakage Intracranial hypotension Subdural hemorrhage

저자

  • Jang Ho Hur [ 허장호 | Department of Anesthesiology and Pain Medicine, National Cancer Center, Goyang 410-769, Republic of Korea ]
  • Yehun Jin [ 진예훈 | Department of Anesthesiology and Pain Medicine, National Cancer Center, Goyang 410-769, Republic of Korea ]
  • Daehyun Kim [ 김대현 | Department of Anesthesiology and Pain Medicine, National Cancer Center, Goyang 410-769, Republic of Korea ] Corresponding Author

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    대한척추통증학회 [The Korean Spinal Pain Society]
  • 설립연도
    2016
  • 분야
    의약학>정형외과학
  • 소개
    본회는 대한척추통증학회 (The Korean Spinal Pain Society : KSPS)라고 칭한다. 본회의 목적은 척추통증의학의 발전과 회원 상호간의 친목을 도모하는데 있다.

간행물

  • 간행물명
    Pain Bulletin
  • 간기
    반년간
  • pISSN
    2951-3782
  • eISSN
    3140-3689
  • 수록기간
    2022~2026
  • 십진분류
    KDC 514 DDC 617

이 권호 내 다른 논문 / Pain Bulletin Vol. 2 No. 1

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