Effective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis

Wei-Ting Wu,1 Yu-Hui Huang,2,3 Der-Cherng Chen,4 Yu-Hsuan Huang,1 Li-Wei Chou1,5 1Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 2School of Medicine, Chung Shan Medical University, Taichung, Taiwan; 3Department of Physical Medicine and Rehabi...

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Autores principales:	Wu WT, Huang YH, Chen DC, Chou LW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/51dcbb5f932e4ef99f21195837f1f80f
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spelling	oai:doaj.org-article:51dcbb5f932e4ef99f21195837f1f80f2021-12-02T01:30:09ZEffective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis1176-63281178-2021https://doaj.org/article/51dcbb5f932e4ef99f21195837f1f80f2013-07-01T00:00:00Zhttp://www.dovepress.com/effective-management-of-intractable-neuropathic-pain-using-an-intrathe-a13831https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Wei-Ting Wu,1 Yu-Hui Huang,2,3 Der-Cherng Chen,4 Yu-Hsuan Huang,1 Li-Wei Chou1,5 1Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 2School of Medicine, Chung Shan Medical University, Taichung, Taiwan; 3Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan; 4Center of Neuropsychiatry, Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan, 5School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, TaiwanAbstract: Transverse myelitis is a rare inflammatory myelopathy characterized by loss of motor and sensory function below the affected level of the spinal cord, and causes neurogenic bowel and bladder. Occasionally, it also causes neuropathic pain with spasticity. Traditional therapies for neuropathic pain are multiple, including multimodal analgesic regimens, antiepileptic or antidepressant medications, opioids, sympathetic blocks, and spinal cord stimulation. Persistent neuropathic pain can cause emotional distress by affecting sleep, work, recreation, and emotional well-being. Here we report the case of a patient suffering from intractable neuropathic pain following acute transverse myelitis that was not relieved by combinations of nonsteroidal anti-inflammatory, antiepileptic, antidepressant, and opioid medications, or by acupuncture. Implantation of an intrathecal morphine pump controlled the pain successfully without side effects, and enabled the patient to embark on intensive rehabilitation. The patient's muscle strength has improved significantly and the patient may soon be able to use a walker with minimal assistance.Keywords: intrathecal morphine pump, neuropathic pain, rehabilitation, transverse myelitisWu WTHuang YHChen DCHuang YHChou LWDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 1023-1028 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Wu WT Huang YH Chen DC Huang YH Chou LW Effective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis
description	Wei-Ting Wu,1 Yu-Hui Huang,2,3 Der-Cherng Chen,4 Yu-Hsuan Huang,1 Li-Wei Chou1,5 1Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 2School of Medicine, Chung Shan Medical University, Taichung, Taiwan; 3Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan; 4Center of Neuropsychiatry, Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan, 5School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, TaiwanAbstract: Transverse myelitis is a rare inflammatory myelopathy characterized by loss of motor and sensory function below the affected level of the spinal cord, and causes neurogenic bowel and bladder. Occasionally, it also causes neuropathic pain with spasticity. Traditional therapies for neuropathic pain are multiple, including multimodal analgesic regimens, antiepileptic or antidepressant medications, opioids, sympathetic blocks, and spinal cord stimulation. Persistent neuropathic pain can cause emotional distress by affecting sleep, work, recreation, and emotional well-being. Here we report the case of a patient suffering from intractable neuropathic pain following acute transverse myelitis that was not relieved by combinations of nonsteroidal anti-inflammatory, antiepileptic, antidepressant, and opioid medications, or by acupuncture. Implantation of an intrathecal morphine pump controlled the pain successfully without side effects, and enabled the patient to embark on intensive rehabilitation. The patient's muscle strength has improved significantly and the patient may soon be able to use a walker with minimal assistance.Keywords: intrathecal morphine pump, neuropathic pain, rehabilitation, transverse myelitis
format	article
author	Wu WT Huang YH Chen DC Huang YH Chou LW
author_facet	Wu WT Huang YH Chen DC Huang YH Chou LW
author_sort	Wu WT
title	Effective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis
title_short	Effective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis
title_full	Effective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis
title_fullStr	Effective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis
title_full_unstemmed	Effective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis
title_sort	effective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/51dcbb5f932e4ef99f21195837f1f80f
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Effective management of intractable neuropathic pain using an intrathecal morphine pump in a patient with acute transverse myelitis

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