Baclofen Pump Pseudo-Malfunctioning: Refractory Spasticity Associated to Cholecystitis

Bernardo Assumpção de Monaco, Manoel Jacobsen Teixeira and Gercivan Dos Santos Alves
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Gercivan Dos Santos Alves: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil

Open Access Journal of Neurology & Neurosurgery, 2017, vol. 5, issue 2, 23-26

Abstract: There are several unleashing factors associated with spasticity worsening such as infection, pain, immobility, emotional factors, and others. Baclofen pumpis a standard treatment for selected severe spasticity cases. The authors report a case of a suspected baclofen pump malfunctioning in a paraplegic spastic patient secondary to spinal cord injury. Patient became refractory to intrathecal baclofen therapy (ITB), despite raising levels, in a complex flex mode infusion using Medtronic Infusion Pump Synchromed 2®. Image investigation and catheter patency tests were performed, without obstruction. Patient became from Modified Ashwoth Scale (MAS) 0 to 4 in different times during a day. The same occurred with Penn Spams Scale. Patient was diagnosed with cholecystitis andunderwent tolaparoscopic surgery. After gallbladder resection, patient became MAS 0 and Penn 0. Spasticity patients using ITB that become refractory to treatment should be evaluated for common unleashing factor, including cholecystitis, before suspecting of pump malfunctioning.

Keywords: Open Access Journal of Neurology; Journal of Neurology & Neurosurgery; Open Access Journal; juniper publishers; neurology open access journals; journal of neurology; neurology indexed journals; neurology scholarly journals; journal of neurology; neurology journals impact factor; juniper publishers reivew (search for similar items in EconPapers)
Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:adp:joajnn:v:5:y:2017:i:2:p:23-26

DOI: 10.19080/OAJNN.2017.05.555658

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