A Comment on Vadera et al. “Intrathecal Granuloma and Intramedullary Abscess Associated With an Intrathecal Morphine Pump”

Abstract

In this issue of Neuromodulation, Vadera et al. report the extraordinary case of a patient who presented with acute spinal cord symptoms simultaneously caused by a drug-induced intrathecal catheter tip inflammatory mass and an intramedullary spinal cord abscess—both at the level of the catheter tip (1). One explanation is that this patient was extremely unlucky to be afflicted by two unusual lesions at the same time, at the same anatomical level, and coincident with the location of the drug delivery catheter.