Inadvertent intrathecal injection of tramadol

Br J Anaesth. 2003 Dec;91(6):918-20. doi: 10.1093/bja/aeg265.


The present case report describes the observed sequelae following an inadvertent intrathecal injection of tramadol in a patient with metastatic malignancy. The contributing circumstances before the injection are discussed, as is the potential aetiology of the observed sequelae.

Publication types

  • Case Reports

MeSH terms

  • Analgesics, Opioid / adverse effects*
  • Carcinoma, Squamous Cell / secondary
  • Female
  • Humans
  • Hypotension / chemically induced
  • Injections, Spinal
  • Medication Errors*
  • Middle Aged
  • Myoclonus / chemically induced
  • Palliative Care*
  • Tramadol / adverse effects*


  • Analgesics, Opioid
  • Tramadol