Prevention of intrathecal baclofen withdrawal syndrome: successful use of a temporary intrathecal catheter.
Journal Article
Abrupt cessation of intrathecal baclofen (ITB) administration can cause a life-threatening withdrawal syndrome that requires prompt diagnosis and urgent treatment. The current therapy for this condition is administration of propofol, benzodiazepines, paralytics and supportive care. This study reports a 53-year-old patient with paraplegia with an ITB infusion who presented with an infected pump site. The pump and the catheter were surgically removed and replaced with a temporary externalized intrathecal catheter. The ITB infusion was tapered and simultaneously substituted with progressively higher doses of oral antispasmotics. With this strategy, we were able to avoid life-threatening complications.
Full Text
Duke Authors
Cited Authors
- Bellinger, A; Siriwetchadarak, R; Rosenquist, R; Greenlee, JDW
Published Date
- November 2009
Published In
Volume / Issue
- 34 / 6
Start / End Page
- 600 - 602
PubMed ID
- 19920430
Pubmed Central ID
- 19920430
Electronic International Standard Serial Number (EISSN)
- 1532-8651
Digital Object Identifier (DOI)
- 10.1097/AAP.0b013e3181b4cc6b
Language
- eng
Conference Location
- England