Manejo de la espasticidad en pacientes con lesión medular con infusión de baclofeno intratecal mediante bomba implantable
This article presents three cases of severe medullar lesion following trauma, resulting in tetraplegia and severe spasticity, and evaluates the safety and efficacy of treatment with intrathecal baclofen. In order to evaluate the patients' reaction to intrathecal baclofen, they were tested with...
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| Lenguaje: | Spanish / Castilian |
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Sociedad de Neurología, Psiquiatría y Neurocirugía
2001
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oai:scielo:S0717-922720010002000072014-05-22Manejo de la espasticidad en pacientes con lesión medular con infusión de baclofeno intratecal mediante bomba implantableChaná,PedroBarrientos,NelsonLanderretche,JeanPodestá,AntonioBaabor,MarcosMuñoz,GabrielaAlonso,María TeresaCanales,Glenda baclofen infusion pump spasticity This article presents three cases of severe medullar lesion following trauma, resulting in tetraplegia and severe spasticity, and evaluates the safety and efficacy of treatment with intrathecal baclofen. In order to evaluate the patients' reaction to intrathecal baclofen, they were tested with trial doses of baclofen via a spinal tap prior to implanting the pump. This treatment brought a significant reduction of rigidity and spasticity for more than eight hours in all three cases rated according to Ashworth and Penn Spasm Frequency scales. A programmable infusion pump with an intrathecal catheter for administration of baclofen was then implanted in all three patients. The patients underwent neurological checkups every three months. They all showed satisfactory clinical improvement with progressive adjustments to the baclofen doses. No serious complications have been observedinfo:eu-repo/semantics/openAccessSociedad de Neurología, Psiquiatría y NeurocirugíaRevista chilena de neuro-psiquiatría v.39 n.2 20012001-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-92272001000200007es10.4067/S0717-92272001000200007 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
baclofen infusion pump spasticity |
| spellingShingle |
baclofen infusion pump spasticity Chaná,Pedro Barrientos,Nelson Landerretche,Jean Podestá,Antonio Baabor,Marcos Muñoz,Gabriela Alonso,María Teresa Canales,Glenda Manejo de la espasticidad en pacientes con lesión medular con infusión de baclofeno intratecal mediante bomba implantable |
| description |
This article presents three cases of severe medullar lesion following trauma, resulting in tetraplegia and severe spasticity, and evaluates the safety and efficacy of treatment with intrathecal baclofen. In order to evaluate the patients' reaction to intrathecal baclofen, they were tested with trial doses of baclofen via a spinal tap prior to implanting the pump. This treatment brought a significant reduction of rigidity and spasticity for more than eight hours in all three cases rated according to Ashworth and Penn Spasm Frequency scales. A programmable infusion pump with an intrathecal catheter for administration of baclofen was then implanted in all three patients. The patients underwent neurological checkups every three months. They all showed satisfactory clinical improvement with progressive adjustments to the baclofen doses. No serious complications have been observed |
| author |
Chaná,Pedro Barrientos,Nelson Landerretche,Jean Podestá,Antonio Baabor,Marcos Muñoz,Gabriela Alonso,María Teresa Canales,Glenda |
| author_facet |
Chaná,Pedro Barrientos,Nelson Landerretche,Jean Podestá,Antonio Baabor,Marcos Muñoz,Gabriela Alonso,María Teresa Canales,Glenda |
| author_sort |
Chaná,Pedro |
| title |
Manejo de la espasticidad en pacientes con lesión medular con infusión de baclofeno intratecal mediante bomba implantable |
| title_short |
Manejo de la espasticidad en pacientes con lesión medular con infusión de baclofeno intratecal mediante bomba implantable |
| title_full |
Manejo de la espasticidad en pacientes con lesión medular con infusión de baclofeno intratecal mediante bomba implantable |
| title_fullStr |
Manejo de la espasticidad en pacientes con lesión medular con infusión de baclofeno intratecal mediante bomba implantable |
| title_full_unstemmed |
Manejo de la espasticidad en pacientes con lesión medular con infusión de baclofeno intratecal mediante bomba implantable |
| title_sort |
manejo de la espasticidad en pacientes con lesión medular con infusión de baclofeno intratecal mediante bomba implantable |
| publisher |
Sociedad de Neurología, Psiquiatría y Neurocirugía |
| publishDate |
2001 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-92272001000200007 |
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