Pain Management in a Rare Malignant Spinal Cord Tumor

Abstract

Primary Intraspinal Primitive neuroectodermal tumor is a rare tumor with a poor prognosis. Only few cases have been reported in literature. An 18-year-old girl presented with acute low back pain with no neurological deficit. The tumor could be excised in total. MRI done 6 weeks post operatively was suggestive of a recurrence of the tumor at an alarming rate. The case was referred to our Department for pain management until a definitive treatment plan could be executed

Keywords

• PNET (primitive neuroectodermal tumor)
• Pain management
• Epidural opioid
• Oral morphine
• Opioid tolerance
• Opioid rotation