Intrathecal baclofen therapy in children with acquired brain injuries after drowning: A case series.
Brain Inj
; 29(1): 98-103, 2015.
Article
em En
| MEDLINE
| ID: mdl-25264924
ABSTRACT
UNLABELLED Objective:
To investigate clinical efficacy as well as the incidence and extent of complications regarding intrathecal baclofen (ITB) therapy in children.METHODS:
This is a retrospective medical chart review of three paediatric patients with acquired brain injuries (ABI) resulting from drowning who underwent ITB pump implantation for treatment of severe spasticity.RESULTS:
Compared to the pre-operative state, ITB therapy reduced spasticity with a corresponding decrease of modified Ashworth scale in upper (3.2 ± 1.4 to 1.3 ± 0.6) and lower extremities (3.5 ± 0.9 to 2.0 ± 1.0). Overall, six complications, five device-related and one accidental, were found in two out of three patients.CONCLUSION:
Intrathecal baclofen is an effective therapy option for paediatric patients with ABI after drowning to significantly reduce spasticity of upper and lower extremities. A word of caution must be addressed to the incidence and extent of complications related to ITB therapy.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Baclofeno
/
Lesões Encefálicas
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Afogamento Iminente
Tipo de estudo:
Etiology_studies
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Observational_studies
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Risk_factors_studies
Limite:
Child
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Child, preschool
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article