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KMID : 1040020210120010001
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International Journal of Pain
2021 Volume.12 No. 1 p.1 ~ p.5
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Intrathecal Morphine Pump Insertion by Laminectomy for Cancer Pain Management: A Case Report
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Park Young-Jae
Hur Chahn-Mee
Lee Chang-Soon
Kim Hyoung-Min
Yoo Yong-Jae
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Abstract
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Pain is one of the most distressing symptoms for patients with cancer and a significant factor underlying an impairment in the quality of life. Intrathecal opioid administration has been widely used in patients with severe cancer pain that cannot be managed using conventional modalities. However, in some cases, percutaneous catheter insertion into the intrathecal space could be challenging owing to the tumor or a previous surgery. We report the case of a 21-year-old woman with chondrosarcoma of the lumbar spine and severe bilateral lower extremity pain. Although the opioid treatment was effective for pain management, the patient experienced adverse effects related to high opioid dosage. We implanted an intrathecal morphine pump by laminectomy as the patient had dura insufficiency caused by a previous surgery. This report suggests that an intrathecal morphine pump can be considered for pain control in patients with spinal tumors or those who have undergone spinal surgery.
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KEYWORD
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cancer pain, chondrosarcoma, implantable infusion pump, morphine
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