• Rev Esp Anestesiol Reanim · Jun 2009

    Case Reports

    [Spinal granuloma in a patient receiving a spinal infusion of morphine and clonidine].

    • D Abejón, J M del Saz, L Ley, M R Sánchez, and C del Pozo.
    • Unidad del Dolor, Hospital Universitario Puerta de Hierro, Madrid. dabejon@telefonica.net
    • Rev Esp Anestesiol Reanim. 2009 Jun 1;56(6):380-4.

    AbstractPatients treated with long-term spinal infusion of high doses of morphine develop a granuloma at the location of the catheter tip. Diagnosis is based on a steady increase in intrathecal morphine dosage after a relatively prolonged period of stability, on the gradual development of neurologic signs and symptoms suggesting radicular or spinal cord compression, and on magnetic resonance images. We describe a man with central neuropathic pain after removal of a tumor. The presence of all 3 of the aforementioned diagnostic criteria led to suspicion of a spinal granuloma.

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