Use of Intrathecal Baclofen in Children and Adolescents: Interdisciplinary Consensus Table 2013

被引:19
作者
Berweck, Steffen [1 ]
Luetjen, Sonnhild [1 ]
Voss, Wolfgang [2 ]
Diebold, Uta [2 ]
Muecke, Karl-Heinz [3 ]
Aisch, Angelika [4 ]
Ostertag, Bernhart [4 ]
Friedrich, Monika [5 ]
Wagner, Christiane [6 ]
Kudernatsch, Manfred [7 ]
Granel, Michael [1 ]
Kluger, Gerhard [1 ]
Ludwikowski, Barbara [8 ]
Peraud, Aurelia [9 ]
Rauchenzauner, Markus [10 ]
Schroeder, A. Sebastian [11 ]
Sprinz, Andreas [12 ]
Wienand, Rieke [1 ]
Wilken, Bernd [13 ]
Kaestner, Stefanie [14 ]
Zeches, Caroline [1 ]
Mall, Volker [15 ]
机构
[1] Schon Clin Vogtareuth, Epilepsy Ctr Children & Adults, Dept Paediat Neurol & Rehabil, D-83569 Vogtareuth, Germany
[2] Childrens Hosp Bult, Neuropaediat Outpatient Ctr, Hannover, Germany
[3] Childrens Hosp Bult, Dept Anaesthesia Childrens Intens Care & Emergenc, Hannover, Germany
[4] Kinderzentrum St Martin, Neuropaediat Outpatient Clin, Regensburg, Germany
[5] Univ Hosp Regensburg, Dept Neurosurg, Regensburg, Germany
[6] Sana Hosp, Neuropaediat Outpatient Clin, Berlin, Germany
[7] Schon Clin Vogtareuth, Dept Neurosurg, D-83569 Vogtareuth, Germany
[8] Childrens Hosp Bult, Dept Childrens Surg, Hannover, Germany
[9] Univ Munich, Dept Neurosurg, Munich, Germany
[10] St Vinzenz Hosp, Childrens Hosp, Zams, Austria
[11] Univ Munich, Dr von Hauners Childrens Hosp, Dept Paediat Neurol & Dev Med, Munich, Germany
[12] Gait Lab, Havixbeck, Germany
[13] Kassel Hosp, Dept Paediat Neurol, Kassel, Germany
[14] Kassel Hosp, Dept Neurosurg, Kassel, Germany
[15] KBO Childrens Ctr, Munich, Germany
关键词
intrathecal baclofen; spasticity; dystonia; children; SPASTIC CEREBRAL-PALSY; NON-AMBULANT CHILDREN; SECONDARY GENERALIZED DYSTONIA; GROSS MOTOR FUNCTION; CLINICAL ARTICLE; INTRAVENTRICULAR BACLOFEN; PEDIATRIC POPULATION; TECHNICAL NOTE; PUMP CATHETER; SPINAL-CORD;
D O I
10.1055/s-0034-1387818
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In recent years, intrathecal baclofen (ITB) has attained an important role in the treatment of severe spasticity and dystonia in children. There are principal differences between the use of ITB in children and its use in neurology and oncology in adults. Here, we present a consensus report on best practice for the treatment of severe spastic and dystonic movement disorders with ITB. Using a problem-orientated approach to integrate theories and methods, the consensus was developed by an interdisciplinary group of experienced ITB users and experts in the field of movement disorders involving 14 German centers. On the basis of the data pooled from more than 400 patients, the authors have summarized their experience and supporting evidence in tabular form to provide a concise, but still a comprehensive information base that represents our current understanding regarding ITB treatment options in children and adolescents.
引用
收藏
页码:294 / 308
页数:15
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