Italy
Short Communication
The Use Ultrasound Guided for Refilling Intrathecal Baclofene Pump in Complicated Clinical Cases: A Practical Approach
Author(s): Caruso P, Mazzon G, Sarra VM and Manganotti PCaruso P, Mazzon G, Sarra VM and Manganotti P
Muscular spasticity due to neurological disorders is a heavy cause of severe pain and disability for many patients, compromising the independence and quality life. Baclofene is a good tool to guarantee patients independence and pain control. Anyway in chronic therapy oral treatment becomes unsatisfactory. In all these cases, intrathecal baclofen therapy (ITB), after sub fascial implantation of intrathecal pumps is used as an important long term treatment to reduce spasticity. After pump implantation the drug reservoir must be refilled periodically in order to maintain the reduction of spasticity and avoid the symptoms and signs of withdrawal. ITB refilling, which involves the insertion of a needle through the skin until the access port of the pump, is often hard, mainly due to the layer of abdominal fat, spasticity, suboptimal pump positioning, pump rotation or inversion, and scar for.. Read More»
DOI:
10.4172/2376-0281.1000300
International Journal of Neurorehabilitation received 1078 citations as per Google Scholar report