Microfracture of a baclofen pump catheter with intermittent under- and overdose

被引：25

作者：

Dawes, WJ

Drake, JM

Fehlings, D

机构：

[1] Hosp Sick Children, Div Neurosurg, Toronto, ON M5G 1X8, Canada

[2] Bloorview MacMillan Rehabil Ctr, Toronto, ON, Canada

来源：

PEDIATRIC NEUROSURGERY | 2003年 / 39卷 / 03期

关键词：

baclofen; dose adjustment; intrathecal pump; microfracture; INTRATHECAL BACLOFEN; CEREBRAL-PALSY; SPINAL ORIGIN; SPASTICITY; SYSTEMS;

D O I：

10.1159/000071652

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

An 8-year-old boy with an implanted intrathecal baclofen pump presented with intermittent signs of baclofen under- and overdose. Pump interrogation, pump volumes, plain X-rays, catheter contrast fluoroscopy and CT of the intrathecal catheter tip were unremarkable. A microfracture of the extradural catheter was only seen at a magnification of x20 and confirmed by scanning electron microscopy. Symptoms resolved following replacement. Microfracture of the intrathecal catheter of baclofen pump systems may present puzzling symptomatology and be difficult to diagnose by conventional means. Copyright (C) 2003 S. Karger AG, Basel.

引用

收藏

页码：144 / 148

页数：5

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