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Clinical Observations |
1 Department of Radiology, University of Pittsburgh Medical Center, UPMC
Presbyterian, 200 Lothrop St., Pittsburgh, PA 15213.
2 Division of Neuroradiology, Department of Radiology, University of Pittsburgh
Medical Center, UPMC Presbyterian, Pittsburgh, PA.
3 Department of Neurological Surgery, University of Pittsburgh Medical Center,
UPMC Presbyterian, Pittsburgh, PA.
4 Division of Neuropathology, Department of Pathology, University of Pittsburgh
Medical Center, UPMC Presbyterian, Pittsburgh, PA.
OBJECTIVE. The purpose of this article is to discuss the clinical, radiologic, and pathologic features of intrathecal catheter tip inflammatory masses and to review the literature regarding this phenomenon.
CONCLUSION. Formation of inflammatory masses at catheter tips can complicate chronic intrathecal opioid administration and have devastating neurologic sequelae. It is critical that radiologists recognize this entity and prompt immediate neurosurgical evaluation.
Keywords: catheter tip complications granuloma inflammatory mass intrathecal opioid
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