Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

16 December 2016 : Case report  Netherlands

Intrathecal Analgesic Drug Delivery is Effective for Analgesia in a Patient with Post-Poliomyelitis Syndrome: A Case Report

Unusual setting of medical care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Cornelis W.J. van Tilburg1ABCDEF*

DOI: 10.12659/AJCR.901157

Am J Case Rep 2016; 17:957-962

Abstract

BACKGROUND: Post-poliomyelitis syndrome (PPS) is a progressive neuromuscular syndrome, with chronic pain being one of the most prevalent symptoms. We present a case report on intrathecal analgesic drug delivery to diminish chro­nic, refractory pain in a patient with PPS.

CASE REPORT: In a wheelchair-bound 45-year-old female patient (Caucasian, body mass index [BMI] 20.5) with severe chronic, refractory pain, a Synchromed® II pump (Medtronic, Minneapolis, Minnesota, USA) was implanted after multidisciplinary consultation and a successful trial period. After 8 months, relocation of the pump due to regional pressure problems with surrounding erythema had to occur. A second pump relocation due to pressure pro­blems and skin erosion was needed 18 months after the first relocation, moving from the abdominal wall to the sheath of the rectus abdominis muscle, resulting in resolution of the problems.

CONCLUSIONS: In patients with PPS, intrathecal analgesic drug delivery can be an option to treat chronic, refractory pain. Multidisciplinary consultation is necessary to deal with the wide variety of problems in these patients. Skin problems at the site of the pump reservoir can be challenging and time-consuming and, ultimately, can necessitate relocation (or removal) of the device.

Keywords: Infusions, Spinal, Poliomyelitis, Postpoliomyelitis Syndrome, Infusion Pumps, Implantable, Drug Delivery Systems

Add Comment 0 Comments

In Press

Case report  Italy

Twenty Years of Continuous Bisphosphonate Use Leading to Atypical Bilateral Femoral Fractures: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.946435  

Case report  USA

Impact of Hypoglossal Nerve Stimulation on Nocturnal Asystole in a Patient with Severe Obstructive Sleep Ap...

Am J Case Rep In Press; DOI: 10.12659/AJCR.947160  

Case report  Indonesia

Fatal Progression of Vulvar Cancer in Pregnancy: A Case Report on Delayed Intervention

Am J Case Rep In Press; DOI: 10.12659/AJCR.947567  

Case report  Saudi Arabia

Surgical Outcomes of Right Traumatic Diaphragmatic Rupture with Grade 3 Liver Injury: A Report of 2 Cases

Am J Case Rep In Press; DOI: 10.12659/AJCR.948238  

Most Viewed Current Articles

21 Jun 2024 : Case report  China (mainland) 100,489

Intracranial Parasitic Fetus in a Living Infant: A Case Study with Surgical Intervention and Prognosis Anal...

DOI :10.12659/AJCR.944371

Am J Case Rep 2024; 25:e944371

0:00

07 Mar 2024 : Case report  USA 53,790

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

20 Nov 2023 : Case report  Saudi Arabia 36,376

Azithromycin Treatment for Acne Vulgaris: A Case Report on the Risk of Clostridioides difficile Infection

DOI :10.12659/AJCR.941424

Am J Case Rep 2023; 24:e941424

0:00

07 Jul 2023 : Case report  Saudi Arabia 25,034

A Classical Case of Cesarean Scar Endometriosis in a 35-Year-Old Woman Presenting with Cyclical Abdominal P...

DOI :10.12659/AJCR.940200

Am J Case Rep 2023; 24:e940200

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923