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SPASTICITY-INTRATHECAL BACLOFEN PUMP (ITB)

Neurology

SPASTICITY-INTRATHECAL BACLOFEN PUMP (ITB)

1. Programmable pumps can be surgically implanted for the treatment of spasticity in SCI.

2. Indication: high doses of oral Baclofen can lead to adverse effects, most commonly sedation. Delivering baclofen directly into the CSF allows a higher concentration of baclofen administration to the spinal cord with fewer systemic side effects.

3. Most effective in treating lower extremity spasticity and less so for upper extremity spasticity.

4. The location of the intrathecal catheter tip can be adjusted.

5. Use 1 year post-SCI.

6. Limited experience in stroke patients. Some evidence of ITB with physical therapy may improve walking speed and functional mobility in ambulatory individuals with post-stroke spastic hemiplegia (Francisco, 2003).


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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