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©2014 Baishideng Publishing Group Inc.
World J Clin Cases. Aug 16, 2014; 2(8): 351-356
Published online Aug 16, 2014. doi: 10.12998/wjcc.v2.i8.351
Published online Aug 16, 2014. doi: 10.12998/wjcc.v2.i8.351
Patient | Age (at pump placement, yr) | Gender | Primary diagnosis | Prior surgeries | Pre-implant-ation trial | ICV pump medication | Initial dose (mg/d) | Final dose (mg/d) | Pre-opVAS | Post-opday 1 VAS | LastVAS | Last post-op visit (mo) |
1 | 67 | Male | Trigeminal neuralgia (left) | Ommaya reservoir- morphine | Morphine then dilaudid | 0.1 morphine | 3.27 dilaudid | 6 | 3.5 | 4 | 145 | |
2 | 35 | Female | Cluster headaches | Ommaya reservoir- morphine | Morphine | 0.65 morphine | 19.0 morphine | 8 | 4 | 0 | 166 | |
3 | 37 | Female | Trigeminal neuralgia (right), Cluster headaches | Ommaya reservoir- morphine, dilaudid | Dilaudid | 0.1 dilaudid | 0.2 dilaudid | 8 | 2.5 | 3 | 9 | |
4 | 74 | Male | Trigeminal neuralgia (left) | Rhizotomy, Microvascular decompression | Ommaya reservoir- morphine | Morphine | 0.75 morphine | 1.75 morphine | 8 | 1 | 1 | 10 |
5 | 62 | Female | Trigeminal neuralgia (right) | Microvascular decompression | Ommaya reservoir- morphine | Morphine | 4 morphine | 4.25 morphine | 10 | 3 | 2 | 3 |
6 | 79 | Female | Trigeminal neuralgia (left) | Meningioma resection (left), radiosurgery ×2 | External ventricular drain-morphine, dilaudid | Dilaudid | 0.01 dilaudid | 0.085 dilaudid | 8 | 2 | 2 | 15 |
Patient | Dose range (mg/d) | Complications |
1 | 0.10-21.5 (morphine) | Nausea/Emesis (transient-decreased dosage) |
2.10-3.27 (dilaudid) | Changed medication due to inadequate pain control/nausea | |
2 | 0.65-19.0 (morphine) | Replacement of pump × 2 (q5 yr) |
Withdrawal symptoms (transient) | ||
3 | 0.20 (dilaudid) | Psychiatric disturbances leading to removal of pain pump after 11 yr |
4 | 0.75-2.0 (morphine) | Nausea/ Emesis (transient- decreased dosage) |
5 | 4.00-4.25 (morphine) | Lost to follow-up after 1 yr |
6 | 0.01–0.10 (dilaudid) |
- Citation: Lee DJ, Gurkoff GG, Goodarzi A, Muizelaar JP, Boggan JE, Shahlaie K. Intracerebroventricular opiate infusion for refractory head and facial pain. World J Clin Cases 2014; 2(8): 351-356
- URL: https://www.wjgnet.com/2307-8960/full/v2/i8/351.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v2.i8.351