Opioid-induced hyperalgesia after implantation of intrathecal morphine pump : a case report
- Author(s)
- Sungryul Yoon Rakmin Choi Jaedo Lee Jongchan Won Bousung Lee Kwanghaeng Lee Dongseok Kim Jaeyoung Yang
- Issued Date
- 2020
- Keyword
- Hyperalgesia Implantable Intrathecal Ketamine Morphine Opioid
- Abstract
- Opioid-induced hyperalgesia is characterized by an increased pain response to noxious stimuli despite increased use of opioid medications. Here, we report the case of a 43-year-old woman diagnosed with post-laminectomy syndrome who presented with an increasing pain score following a morphine infusion via an implanted intrathecal drug delivery device. Her pain improved after reducing opioid doses and the administration of intravenous ketamine infusion therapy. Thus, the early suspicion of opioid-induced hyperalgesia is essential for patients with increasing pain refractory to augmented doses of opioid medications.
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