• Clin J Pain · Mar 1990

    Case Reports

    Spinal opiate administration: a case of catheter misplacement.

    • C M Tom, L M Arias, and G Barolat.
    • Department of Anesthesiology, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107.
    • Clin J Pain. 1990 Mar 1; 6 (1): 60-3.

    AbstractContinuous spinal opiate administration via permanently implantable drug delivery devices has been proven to provide profound analgesia for chronic pain conditions. We present a case in which the catheter of an implantable subarachnoid device was misplaced into the subdural/extra-arachnoid space despite the free flow of cerebrospinal fluid. This was verified by x-ray dye studies. It is postulated that this misplacement of the catheter likely occurred as a result of recent lumbar punctures the patient had undergone. Extravasation of cerebrospinal fluid created a false space and contributed to the misplacement and ultimate failure of the device to provide analgesia.

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