Cervical Catheter Tip Placement for Intrathecal Baclofen Administration

McCall, Todd D.; MacDonald, Joel D.

doi:10.1227/01.neu.0000227570.40402.77

Cited by 51 publications

(53 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our case, the patient accepted two years of systematic rehabilitation for his spastic right upper limb, including CMIT, bilateral arm training and botulinum toxin injections, but the effectiveness was still limited. Some studies have reported that intrathecal baclofen (ITB) therapy as a reversible way can be applied to the patients with hemiplegic paralysis; it can reduce the spasticity in the lower limb and improve the walking ability [22,23] and also impacts the spasticity in upper limb equally as in lower limb [24]. However, baclofen for intrathecal injection is not available in China; thus, ITB was not considered in this case.…”

Section: Discussionmentioning

confidence: 99%

Cervical selective dorsal rhizotomy for treating spasticity in upper limb neurosurgical way to neurosurgical technique

Duan

Luo

Gao

et al. 2015

Interdisciplinary Neurosurgery

View full text Add to dashboard Cite

Selective dorsal rhizotomy is an effective method to reduce spasticity of the lower limbs. However, functional outcomes in the upper limb following selective dorsal rhizotomy at the cervical level have not been reported.Here we report the clinical course after selective dorsal rhizotomy at the cervical level in a patient with hemiplegic spasticity caused by brain injury. The selective dorsal rootlets at the cervical level were sectioned under electrophysiological monitoring. The patient was followed for 1 year to evaluate the outcome of surgery. The spasticity in the upper limb was reduced and the passive range of motion and function of movement improved. However, the effectiveness and the safety of operation should be studied further in clinical trials.

show abstract

Section: Discussionmentioning

confidence: 99%

Cervical selective dorsal rhizotomy for treating spasticity in upper limb neurosurgical way to neurosurgical technique

Duan

Luo

Gao

et al. 2015

Interdisciplinary Neurosurgery

View full text Add to dashboard Cite

show abstract

“…The catheter was placed into the lumbar subarachnoid space through a percutaneous technique. The level of the catheter tip was T10-11in all patients but the C7-T1 level was preferred in patients suffering from tetraparesis according to the literature (16). The pump was placed in the subcutaneous pocket in the lower quadrant of the abdomen and connected to the catheter.…”

Section: Pump Implantationmentioning

confidence: 99%

Outcomes of intratechal baclofen (itb) therapy in spacticity

Uçar

Kazan²,

Turgut

et al. 2010

Turkish Neurosurgery

View full text Add to dashboard Cite

AIm: Spasticity is associated with various neurological conditions. Intrathecal baclofen (ITB) is one of the popular treatments for severe spasticity. In this paper we present our experience in treating 30 patients with both spinal and supraspinal spasticity with chronic infusion of Baclofen to evaluate the long term efficacy of this treatment on spasticity, disability and pain, and to evaluate the side effects of intrathecal Baclofen. mAterIAl and methOds: The medical records of 30 patients who underwent baclofen pump placement from 2000 to 2010 under Department of Neurosurgery at the University of Akdeniz at Antalya/Turkey, were reviewed. All study subjects had diffuse chronic, severe, and generalized spasticity (Ashworth score ≥ 3), and had shown inadequate response to various oral antispastic drugs including baclofen. All patients were evaluated by means of the Ashworth score, spasm frequency, Barthel index, Rankin scales and VAS.results: Spasticity and spasm frequency and pain scores were clinically and statistically decreased in all patients.COnClusIOn: ITB therapy increases the quality of lifestyle and functional independence by reducing not only cerebral but also spinal related spasticity in appropriately selected cases. sOnuÇ: İyi seçilmiş olgularda İTB tedavisi yalnızca serebral değil spinal kökenli spastisite üzerinde de yaşam kalitesini ve fonksiyonel düzelmeyi sağlayan bir tedavi seçeneğidir.

show abstract

“…46 There is evidence that a higher catheter tip location can result in improved upper extremity spasticity scores. 47 For pain treatment, placement of the catheter tip near the level of the pain may be more important when using analgesic agents that are lipophilic and penetrate further and fasting into biological tissue than do hydrophilic agents.…”

Section: Presurgical Planningmentioning

confidence: 99%

Intrathecal Pumps

2008

View full text Add to dashboard Cite

Summary: Direct neuroaxis drug delivery has expanded the physician's armamentarium to provide treatment options to those who have failed more conservative interventions. Starting from Bier's 'cocainization of the spinal cord' in 1898, direct nervous system pharmacy delivery has long been recognized as an effective means to treat pain. Intrathecal pump systems are now commonplace in the management of numerous pain states, as well as of neuromuscular sequelae of central nervous system injury. There has been much advancement in the physiologic and pharmacologic understanding of direct neuromodulation, providing a growing number of treatment options depending on the specific disease state. As well, surgical techniques and catheter systems have undergone refinements providing improved long-term safety and efficacy. We present a review of the historical evolution to current intrathecal therapies, as well as a dialog regarding patient selection, drug options, and side effects. Also, included is a discussion of surgical techniques, current delivery options and complications concerning pump placement.

show abstract

Cervical Catheter Tip Placement for Intrathecal Baclofen Administration

Abstract: In this series, placement of intrathecal baclofen catheters in the cervical region resulted in equal control of spasticity in the upper and lower extremities and did not increase complications related to the catheter position.

Cited by 51 publications

References 21 publications

Cervical selective dorsal rhizotomy for treating spasticity in upper limb neurosurgical way to neurosurgical technique

Cervical selective dorsal rhizotomy for treating spasticity in upper limb neurosurgical way to neurosurgical technique

Outcomes of intratechal baclofen (itb) therapy in spacticity

Intrathecal Pumps

Contact Info

Product

Resources

About