High Cervical Intrathecal Targeted Drug Delivery: A Case Report of Refractory Oropharyngeal Cancer Pain
Joint Authors
Pittelkow, Thomas P.
Moman, Rajat N.
Rogers, Julie M.
Source
Case Reports in Oncological Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-09-10
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
Some patients with head and neck cancers have pain refractory to aggressive multimodal therapies.
Herein, we report the use of an intrathecal targeted drug delivery (TDD) system catheter tip placed at C1 for the treatment of recalcitrant oropharyngeal cancer pain.
Case Report.
A patient with recurrent metastatic squamous cell tongue cancer reported severe pain not controlled despite high-dose opioids and nonopioid adjuvants.
It was elected to proceed with an intrathecal TDD system with the catheter tip placed at the C1 level.
After pump placement, we were able to decrease her daily oral morphine equivalents (OME) from nearly 1000 mg to 300 mg over the course of two months while titrating her TDD from 0.3 mg/day to 0.7 mg/day of intrathecal hydromorphone.
Unfortunately, her improvement was limited secondary to aggressive cancer-directed treatments likely contributing to device infection and explant.
Conclusions.
In this patient, high cervical placement of an intrathecal TDD catheter was associated with a decrease in OME.
While used in clinical practice on occasion, the use of high cervical TDD placement such as this implantable C1 intrathecal TDD system for cancer-associated pain is underreported in the literature.
Further studies on this intervention within this challenging population are warranted.
American Psychological Association (APA)
Moman, Rajat N.& Rogers, Julie M.& Pittelkow, Thomas P.. 2019. High Cervical Intrathecal Targeted Drug Delivery: A Case Report of Refractory Oropharyngeal Cancer Pain. Case Reports in Oncological Medicine،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1141864
Modern Language Association (MLA)
Moman, Rajat N.…[et al.]. High Cervical Intrathecal Targeted Drug Delivery: A Case Report of Refractory Oropharyngeal Cancer Pain. Case Reports in Oncological Medicine No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1141864
American Medical Association (AMA)
Moman, Rajat N.& Rogers, Julie M.& Pittelkow, Thomas P.. High Cervical Intrathecal Targeted Drug Delivery: A Case Report of Refractory Oropharyngeal Cancer Pain. Case Reports in Oncological Medicine. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1141864
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141864