IDEAS home Printed from https://ideas.repec.org/a/adp/joajnn/v5y2017i2p23-26.html
   My bibliography  Save this article

Baclofen Pump Pseudo-Malfunctioning: Refractory Spasticity Associated to Cholecystitis

Author

Listed:
  • Bernardo Assumpção de Monaco
  • Manoel Jacobsen Teixeira
  • GERCIVAN DOS SANTOS ALVES

    (Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil
    Functional Neurosurgeon, Associação de Assistência à Criança Deficiente - AACD - São Paulo, Brazil
    Neurosurgery Resident , Hospital da Restauração da Universidade Federal de Pernambuco , Brazil)

Abstract

There are several unleashing factors associated with spasticity worsening such as infection, pain, immobility, emotional factors, and others. Baclofen pumpis a standard treatment for selected severe spasticity cases. The authors report a case of a suspected baclofen pump malfunctioning in a paraplegic spastic patient secondary to spinal cord injury. Patient became refractory to intrathecal baclofen therapy (ITB), despite raising levels, in a complex flex mode infusion using Medtronic Infusion Pump Synchromed 2®. Image investigation and catheter patency tests were performed, without obstruction. Patient became from Modified Ashwoth Scale (MAS) 0 to 4 in different times during a day. The same occurred with Penn Spams Scale. Patient was diagnosed with cholecystitis andunderwent tolaparoscopic surgery. After gallbladder resection, patient became MAS 0 and Penn 0. Spasticity patients using ITB that become refractory to treatment should be evaluated for common unleashing factor, including cholecystitis, before suspecting of pump malfunctioning.

Suggested Citation

  • Bernardo Assumpção de Monaco & Manoel Jacobsen Teixeira & GERCIVAN DOS SANTOS ALVES, 2017. "Baclofen Pump Pseudo-Malfunctioning: Refractory Spasticity Associated to Cholecystitis," Open Access Journal of Neurology & Neurosurgery, Juniper Publishers Inc., vol. 5(2), pages 23-26, July.
    • Handle: RePEc:adp:joajnn:v:5:y:2017:i:2:p:23-26
    DOI: 10.19080/OAJNN.2017.05.555658
    as

    Download full text from publisher

    File URL: https://juniperpublishers.com/oajnn/pdf/OAJNN.MS.ID.555658.pdf
    Download Restriction: no
    File URL: https://juniperpublishers.com/oajnn/OAJNN.MS.ID.555658.php
    Download Restriction: no
    File URL: https://libkey.io/10.19080/OAJNN.2017.05.555658?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:adp:joajnn:v:5:y:2017:i:2:p:23-26. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Robert Thomas (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.