Unique form of catheter malconnection following intrathecal baclofen surgery for spinal cord injury: a case report

被引:0
作者
Raoul J. Koopmans
Carel G. M. Meskers
Vincent de Groot
K. Mariam Slot
机构
[1] Amsterdam UMC Location University of Amsterdam,Department of Neurosurgery
[2] Amsterdam UMC Location Vrije Universiteit Amsterdam,Department of Rehabilitation Medicine
[3] Amsterdam Movement Sciences,undefined
[4] Rehabilitation & Development,undefined
来源
Acta Neurochirurgica | 2023年 / 165卷
关键词
Disconnection; Dysfunction; Malfunction; Intrathecal baclofen (ITB); Spinal cord injury (SCI); Case report;
D O I
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中图分类号
学科分类号
摘要
This case report concerns a patient suffering from traumatic spinal cord injury with severe spasticity treated with intrathecal baclofen therapy. After revision surgery for a confirmed catheter obstruction, progressive spasticity reappeared. Diagnostics demonstrated signs of catheter fracture or disconnection adjacent to the pump. During revision surgery, the silicone layer surrounding the sutureless pump connector was shown to be curled up, revealing the cause of dysfunction. As far as we know, this form of malconnection has not been reported before. Therefore, surgeons must be aware of this complication and additional inspection of the silicone connector prior to definite connection is advised.
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页码:2707 / 2710
页数:3
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  • [1] Adams MM(2005)Spasticity after spinal cord injury Spinal Cord 43 577-586
  • [2] Hicks AL(2022)Surgical complications of intrathecal baclofen in children: a single centre, 20-year retrospective cohort study Eur J Paediatr Neurol 37 94-97
  • [3] Bonouvrie LA(2021)Isotopic scintigraphy in intrathecal drug delivery failure: a single-institution case series Neuromodulation 24 1190-1198
  • [4] Lagendijk KE(2010)Incidence and identification of intrathecal baclofen catheter malfunction PM R 2 751-756
  • [5] Beckerman H(2021)Low rate of intrathecal baclofen pump catheter-related complications: long-term study in over 100 adult patients associated with reinforced catheter Neuromodulation 24 1176-1180
  • [6] Slot KM(2016)Isotopic scintigraphy coupled with computed tomography for the investigation of intrathecal baclofen device malfunction Arch Phys Med Rehabil 97 646-649
  • [7] van de Pol LA(2017)Prevalence and effect of problematic spasticity after traumatic spinal cord injury Arch Phys Med Rehabil 98 1132-1138
  • [8] Buizer AI(1992)Intrathecal baclofen for intractable spinal spasticity–a double-blind cross-over comparison with placebo in 6 patients Can J Neurol Sci 19 188-195
  • [9] Delhaas EM(2012)Spasticity: pathophysiology, evaluation and management Pract Neurol 12 289-298
  • [10] van Assema DME(2019)Intrathecal baclofen infusion for the treatment of movement disorders Neurosurg Clin N Am 30 203-209