Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer Pain
A 54-year-old male patient with postoperative axillary lymph node, intrapulmonary, intracranial, and cervical spine metastases of left liver cancer was suffering from severe, persistent, and pricking pain in the right dorsal shoulder and right arm since 3 months. The drug dose of the fentanyl transd...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2018/5287150 |
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| author | Yaling Lou Yuefeng Rao Zhiying Feng |
| author_facet | Yaling Lou Yuefeng Rao Zhiying Feng |
| author_sort | Yaling Lou |
| collection | DOAJ |
| description | A 54-year-old male patient with postoperative axillary lymph node, intrapulmonary, intracranial, and cervical spine metastases of left liver cancer was suffering from severe, persistent, and pricking pain in the right dorsal shoulder and right arm since 3 months. The drug dose of the fentanyl transdermal patch was gradually increased after admission and an adjuvant analgesic was also included, but neither treatment alleviated the pain. It was gradually alleviated after intramedullary analgesic infusion through intrathecal pump implantation in cistern magna. Terminally ill patients often have the desire to spend their remaining time at home, which however becomes a challenge in the face of refractory pain. At present, no palliative chemoradiation or ablative or stimulant neurosurgical options are available to manage pain in cancer patients. Based on the findings of this report, we concluded that an intramedullary drug infusion system can have a significant analgesic effect in patients with cervical metastasis and refractory cancer pain. |
| format | Article |
| id | doaj-art-2c4d524cdca44111a269d774993188a4 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-2c4d524cdca44111a269d774993188a42025-08-20T03:55:17ZengWileyCase Reports in Anesthesiology2090-63822090-63902018-01-01201810.1155/2018/52871505287150Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer PainYaling Lou0Yuefeng Rao1Zhiying Feng2Department of Pharmacy, Huzhou Central Hospital, Huzhou, ChinaDepartment of Pharmacy, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Anesthesiology and Pain Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaA 54-year-old male patient with postoperative axillary lymph node, intrapulmonary, intracranial, and cervical spine metastases of left liver cancer was suffering from severe, persistent, and pricking pain in the right dorsal shoulder and right arm since 3 months. The drug dose of the fentanyl transdermal patch was gradually increased after admission and an adjuvant analgesic was also included, but neither treatment alleviated the pain. It was gradually alleviated after intramedullary analgesic infusion through intrathecal pump implantation in cistern magna. Terminally ill patients often have the desire to spend their remaining time at home, which however becomes a challenge in the face of refractory pain. At present, no palliative chemoradiation or ablative or stimulant neurosurgical options are available to manage pain in cancer patients. Based on the findings of this report, we concluded that an intramedullary drug infusion system can have a significant analgesic effect in patients with cervical metastasis and refractory cancer pain.http://dx.doi.org/10.1155/2018/5287150 |
| spellingShingle | Yaling Lou Yuefeng Rao Zhiying Feng Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer Pain Case Reports in Anesthesiology |
| title | Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer Pain |
| title_full | Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer Pain |
| title_fullStr | Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer Pain |
| title_full_unstemmed | Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer Pain |
| title_short | Intrathecal Pump Implantation in the Cisterna Magna for Treating Intractable Cancer Pain |
| title_sort | intrathecal pump implantation in the cisterna magna for treating intractable cancer pain |
| url | http://dx.doi.org/10.1155/2018/5287150 |
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