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Child's Nervous System

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01-01-2021 | Dystonia | Original Article

Baclofen pump with pre-brainstem catheter tip placement: technical note and case series

Authors: Amparo Saenz, Miguel Grijalba, Juan Pablo Mengide, Romina Argañaraz, Fernando Ford, Beatriz Mantese

Published in: Child's Nervous System | Issue 1/2021

Abstract

Purpose

This study aims to describe a new baclofen pump implantation technique with pre-brainstem catheter placement and to demonstrate the benefits that this procedure has in treating spasticity and dystonia.

Methods

We described a new technique to place a baclofen pump catheter anterior to the brainstem. To illustrate the technique, we presented five patients with both spasticity and dystonia in whom conventional treatment was not effective. They each received a baclofen pump with a pre-brainstem catheter. We evaluated the results using the Ashworth scale for spasticity, the Barry-Albright scale for dystonia, and the PedsQL for quality of life assessment. Each patient was evaluated before a surgery and after 6 months of follow-up.

Results

There were statistically significant differences in all the physical examination evaluated areas using the Barry-Albright and modified Ashworth scales between the preoperative and the postoperative period. The same applies to the results of the PedsQL quality of life scale.

Conclusion

We presented an innovative baclofen pump implantation technique with pre-brainstem catheter placement that could be a therapeutic alternative in patients with dystonia and spastic quadriparesis for whom conventional therapy is not effective.

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Title: Baclofen pump with pre-brainstem catheter tip placement: technical note and case series
Authors: Amparo Saenz
Miguel Grijalba
Juan Pablo Mengide
Romina Argañaraz
Fernando Ford
Beatriz Mantese
Publication date: 01-01-2021
Publisher: Springer Berlin Heidelberg
Keyword: Dystonia
Published in: Child's Nervous System / Issue 1/2021
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-020-04679-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Baclofen pump with pre-brainstem catheter tip placement: technical note and case series

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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