Unusual mechanical failures of intrathecal baclofen pump systems: symptoms, signs, and trouble shooting

Author:

Gburek-Augustat Janina,Krause Matthias,Bernhard Matthias,Sorge Ina,Gräfe Daniel,Siekmeyer Manuela,Nestler Ulf,Merkenschlager Andreas

Abstract

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.

Funder

Universität Leipzig

Publisher

Springer Science and Business Media LLC

Subject

Clinical Neurology,General Medicine,Pediatrics, Perinatology, and Child Health

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