Kirk John Levins¹, Mohamed Khan², Elena Roman³, Cilian Suiter¹, Anurag Nasa¹, Darren William Roddy⁴, Paul Murphy¹

1 Department of Anaesthesia, Intensive Care and Pain Medicine, St. Vincent’s University Hospital, Dublin 4, Ireland.

2 Department of Haematology, University Hospital Limerick, St Nessan’s Rd, Dooradoyle, Co. Limerick, Ireland.

3 Trinity College Institute of Neuroscience, Trinity College Dublin, Lloyd Building, Dublin 2, Ireland.

3 Royal College of Surgeons, St Stephens Green, Dublin 2, Ireland.

Keywords: Intrathecal pump, Granuloma, Haematology, Lymphoma, Transverse Myelitis

Key Learning Points: Although it is a common occurrence that spinal symptoms in patients with intrathecal pumps is automatically attributed to pump complications, it is evident that a wider differential diagnosis should be considered in such patients