Gburek-Augustat J, Krause M, Bernhard M, Sorge I, Gräfe D, Siekmeyer M, Nestler U, Merkenschlager A. Unusual mechanical failures of intrathecal baclofen pump systems: symptoms, signs, and trouble shooting.
Childs Nerv Syst 2021;
37:2597-2604. [PMID:
33834279 PMCID:
PMC8342333 DOI:
10.1007/s00381-021-05154-3]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 03/29/2021] [Indexed: 11/30/2022]
Abstract
INTRODUCTION
Although intrathecal baclofen (ITB) therapy is an effective treatment for spasticity, it has several disadvantages and a risk of complications.
METHODS
We present six pediatric patients who suffered from unusual mechanical failures of intrathecal baclofen pump systems.
RESULTS
With these case-vignettes, we provide a systematic approach on how to interpret the symptoms of ITB complications and an advice which further diagnostic and therapeutic steps to follow. We underline the seriousness of baclofen overdose, underdosing or withdrawal.
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