Korean J Pain.  2009 Apr;22(1):74-77. 10.3344/kjp.2009.22.1.74.

Implantable Intrathecal Drug Delivery Pump in Complex Regional Pain Syndrome Patient : A case report

• Seo KS
• Han KR
• Kim SY
• Park KE
• Kim C

• KMID: 1767821
• DOI: http://doi.org/10.3344/kjp.2009.22.1.74

Abstract

Implantable intrathecal pump is one of the therapeutic options for intractable pain. A 24-year-old male with complex regional pain syndrome was suffering from right lower extremity pain. He had all modalities of treatment including spinal cord stimulator. However, his pain had been worse in the past 6 months. His visual analogue pain scale (VAS) was 8-10 and he could not sit or walk. Only opioid was thought to be effective. Then, intrathecal pump was considered. We estimated the minimal effective dose of spinal morphine before implantation. 0.3 mg of morphine was injected intrathecally as a starting dose. Dosage had been increased up to 0.8 mg in 10 days. His VAS score decreased from 8 to 5. He could sleep without pain and walk with crutch. Therefore, intrathecal pump was inserted. He could tolerate to pain. This case suggests that intrathecal morphine delivery can provide effective treatment for intractable non-malignant pain.

Keyword

complex regional pain syndrome; implantable pump; intrathecal morphine

MeSH Terms

Humans
Lower Extremity
Male
Morphine
Pain Measurement
Pain, Intractable
Spinal Cord
Stress, Psychological
Young Adult
Morphine