Intrathecal Baclofen Pump Implantation in Prone Position for a Cerebral Palsy Patient With Severe Scoliosis: A Case Report. Issue 3 (19th June 2014)

• Record Type: Journal Article
• Authors: Arishima, Hidetaka; Kikuta, Ken‐ichiro
• Is Part Of: Neuromodulaton. Volume 18:Issue 3(2015:May/Jun.)
• Page Start: 214
• Page End: 216
• Publication Date: 2014-06-19
• Subjects: Central nervous system -- Physiology -- Periodicals; Central nervous system -- Diseases -- Periodicals; 616.8
• DOI: 10.1111/ner.12203
• Languages: English
• ISSNs: 1094-7159

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="ner12203-sec-0001" sec-type="section"> <title>Background and Objective</title> <p>Intrathecal baclofen (ITB) pump implantation for cerebral palsy (CP) patients is usually performed in the lateral position; however, it might be difficult for some patients with severe deformity to take a lateral position during surgery.</p> </sec> <sec id="ner12203-sec-0002" sec-type="section"> <title>Method</title> <p>We report a case of ITB pump implantation in the prone position for a CP patient who exhibited uncontrollable opisthotonus with severe scoliosis.</p> </sec> <sec id="ner12203-sec-0003" sec-type="section"> <title>Result</title> <p>ITB therapy effectively controlled her opisthotonus.</p> </sec> <sec id="ner12203-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Our findings suggest that ITB therapy may be useful for CP patients with uncontrollable spasticity, dystonia, or opisthotonus who are not able to take a lateral position for pump implantation due to deformities of their extremities and spine.</p> </sec> </abstract>