HYPERBARIC-OXYGEN THERAPY - IMPLICATIONS FOR SPINAL-CORD INJURY PATIENTS WITH INTRATHECAL BACLOFEN INFUSION PUMPS - CASE-REPORT

被引：6

作者：

AKMAN, MN

LOUBSER, PG

FIFE, CE

DONOVAN, WH

机构：

[1] Department of Physical Medicine and Rehabilitation, Inuonu University Medical School, Malatya

[2] Department of Anesthesiology, Baylor College of Medicine, Houston, TX, 77030, 6550 Fannin

[3] Department of Anesthesiology, University of Texas Health Science Center Medical School, Houston, TX, 77030

[4] Department of Physical Medicine and Rehabilitation, University of Texas Health Science Center Medical School, Houston, TX, 77030

来源：

PARAPLEGIA | 1994年 / 32卷 / 04期

关键词：

HYPERBARIC OXYGEN THERAPY; INTRATHECAL BACLOFEN; MUSCLE SPASTICITY; SPINAL CORD INJURY;

D O I：

10.1038/sc.1994.49

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A patient with a cervical spinal cord injury receiving intrathecal baclofen for spasticity control underwent a 7 week course of hyperbaric oxygen therapy to induce healing of an ischial decubitus ulcer. After completion of this treatment and during a routine baclofen infusion pump refill, the actual pump reservoir volume exceeded computer measurements obtained with telemetry. Examination of the physiology of hyperbaric oxygen therapy in relation to infusion pump function revealed that the intraspinal pressures attained during hyperbaric oxygen therapy produced retrograde leakage of cerebrospinal fluid into the infusion pump reservoir.

引用

页码：281 / 284

页数：4

共 8 条

[1] Davis J.C., Enhancement of healing, Hyperbaric Oxygen Therapy - a Critical Review, (1991)
[2] Penn R.D., Savoy S.M., Corcos D., Latash M., Gottlieb G., Parke B., Et al., Intrathecal baclofen for severe spinal spasticity, N Engl J Med, 320, pp. 1517-1521, (1989)
[3] Loubser P.G., Narayan R.K., Sandin K.J., Donovan W.H., Russell K.D., Continuous infusion of intrathecal baclofen: Long term effects on spasticity in spinal cord injury, Paraplegia, 29, pp. 48-64, (1991)
[4] Medtronic Neurological, (1991)
[5] Brown J.A., Preul M.C., Taha A., Hyperbaric oxygen in the treatment of elevated intracranial pressure after head injury, Pediatr Neurosci, 14, pp. 286-290, (1988)
[6] Jain K.K., Effect of hyperbaric oxygenation on spasticity in stroke patients, J Hyperbaric Med, 4, pp. 55-61, (1989)
[7] Kieper N.R., The use of hyperbaric oxygen in the rehabilitation of spinal cord injured patients due to decompression sickness, Proceedings of the Eighth International Congress on Hyperbaric Medicine, (1987)
[8] Baker B., Use of an implantable infusion pump in the multiplace hyperbaric chamber, Undersea Biomed Res, 19, (1992)

← 1 →