A Case of Broken Heart Syndrome after an Intrathecal Pump Refill

We report a case involving a 57 year old female with history of HTN, depression, chronic left knee pain secondary to CRPS (Complex regional pain syndrome type I) since 2000. She had failed conservative therapy with pain medications, physical therapy, acupuncture, lumbar sympathetic blocks, and spinal cord stimulator. She had a Medtronic intrathecal pump implanted in 2005 with a continuous infusion of intrathecal solution, containing bupivacaine 40 mg/mL, Dilaudid 80 mg/mL and clonidine 2 mg/mL. The intrathecal infusion was titrated over time to 14.99 mg/day in combination with oxycodone 10 mg PO every 6 h PRN, Topamax 50 mg every 8 h and intermittent femoral nerve blocks for flare-ups.

Author(s): Kanchana Gattu* and Luis Chabla-Penafiel

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