{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:58:13Z","timestamp":1777917493774,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2008,7,1]],"date-time":"2008-07-01T00:00:00Z","timestamp":1214870400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2008,7]]},"abstract":"<jats:p>We report the displacement of a tunnelled intrathecal catheter causing significant cerebrospinal fluid (CSF) leak, resulting in partial coning and a sixth nerve palsy. The patient had advanced malignant mesothelioma and all other methods of pain control had been unsuccessful. As far as we are aware, there are no published reports of early replacement of an intrathecal catheter in patients with neurological sequelae. Surgical re-siting of the intrathecal catheter produced good pain relief for many months. Doctors involved in the use of indwelling intrathecal catheters for pain control must be aware of the risk of significant neurological sequelae but should not dismiss re-establishment of intrathecal therapy in the presence of significant neurological complications.<\/jats:p>","DOI":"10.1177\/0269216308091558","type":"journal-article","created":{"date-parts":[[2008,7,8]],"date-time":"2008-07-08T12:36:15Z","timestamp":1215520575000},"page":"668-670","source":"Crossref","is-referenced-by-count":2,"title":["To replace or not to replace? \u2013 Partial coning and a sixth nerve                 palsy secondary due to displacement of a tunnelled intrathecal catheter for pain                 control"],"prefix":"10.1177","volume":"22","author":[{"given":"J","family":"Gibbins","sequence":"first","affiliation":[{"name":"The Macmillan Unit, North Bristol NHS Trust, Frenchay Hospital, Frenchay                         Park Road, Bristol,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Steeds","sequence":"additional","affiliation":[{"name":"The Pain Clinic, Macmillan Unit, North Bristol NHS Trust, Frenchay                         Hospital, Frenchay Park Road, Bristol"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GL","family":"Greenslade","sequence":"additional","affiliation":[{"name":"The Pain Clinic, Macmillan Unit, North Bristol NHS Trust, Frenchay                         Hospital, Frenchay Park Road, Bristol"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SR","family":"Tunstall","sequence":"additional","affiliation":[{"name":"The Macmillan Unit, North Bristol NHS Trust, Frenchay Hospital, Frenchay                         Park Road, Bristol"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"NK","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, North Bristol NHS Trust, Frenchay Hospital,                         Frenchay Park Road, Bristol"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CF","family":"Stannard","sequence":"additional","affiliation":[{"name":"The Pain Clinic, Macmillan Unit, North Bristol NHS Trust, Frenchay                         Hospital, Frenchay Park Road, Bristol"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,7,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03018456"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1097\/00115550-200001000-00015"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1007\/BF03022012"},{"key":"atypb4","volume-title":"Epidural blood patching for preventing and treating post-dural puncture headache.","author":"Sudlow C","year":"2002"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200206000-00035"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03530230056031"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(95)00017-M"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19870215)59:4<850::AID-CNCR2820590432>3.0.CO;2-1"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(98)00118-3"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-199503000-00006"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.19.2286"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2004.05.005"},{"key":"atypb13","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1097\/00002508-199803000-00003","volume":"14","author":"Dahm P","year":"1998","journal-title":"Clin J Pain"}],"container-title":["Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269216308091558","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269216308091558","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:15:17Z","timestamp":1777659317000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0269216308091558"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,7]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2008,7]]}},"alternative-id":["10.1177\/0269216308091558"],"URL":"https:\/\/doi.org\/10.1177\/0269216308091558","relation":{},"ISSN":["0269-2163","1477-030X"],"issn-type":[{"value":"0269-2163","type":"print"},{"value":"1477-030X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,7]]}}}