[Transverse myelopathy as a complication following long-term intrathecal application of morphine in chronic back pain].
Serious neurological complications following long-term intrathecal application of opiates have seldom been published. This report describes complications which developed three months after reimplantation of a spinal catheter for pain therapy. The symptoms which occurred were paraparesis of the legs with sensory loss and urinary retention. A regression of these symptoms occurred only after explantation of the spinal catheter-pump-system. Possible reasons and consequences are discussed.
Schimpf
J
J
Anästhesieabteilung Krankenhaus Zum Guten Hirten, Ludwigshafen.
Krakow
K
K
Vehreschild
N
N
Pohlmann-Eden
B
B
D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D002908:Chronic Disease; D006801:Humans; D007278:Injections, Spinal; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D010146:Pain / Q000150:complications* / Q000188:drug therapy; D010291:Paresis / Q000139:chemically induced; D011859:Radiography; D012678:Sensation Disorders / Q000139:chemically induced; D013118:Spinal Cord Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000473:pathology; D016055:Urinary Retention / Q000139:chemically induced
D000701:Analgesics, Opioid; D009020:Morphine