Fig. 6

Reel syndrome with signs of withdrawal syndrome in a 45-year-old extremely obese woman with spasticity in multiple sclerosis. Baseline plain radiography (a, c, e) with follow-up images after 4 weeks (b, d, f). The apex of the pump is turned from the 11 o’clock (a) to the 2 o’clock (b) position (black-white arrow). The Ascenda needle connector is moved from the original position (a) to a more lateral position (b) (grey-white arrow) with disconnection of catheter pump segment (black arrow). The Ascenda catheter is hardly visible (white arrows). The tip of the catheter is unchanged (c–f) at level T8 (grey-black arrow)