Catheter Migration After Implantationan Intrathecal Baclofen Infusion Pump for Severe Spasticity: A Case Report
作者： Tung-Chou Li , Mei-Hsiu Chen , Jing-Shan Huang , Jun-Yeen Chan , Yaun-Kai Liu
DOI: 10.1016/S1607-551X(09)70007-5
关键词:
摘要: We report a case of intrathecal baclofen infusion pump implantation complicated by migration the catheter tip. A 55-year-old man required an for severe spasticity 4 years after cervical spinal cord injury with incomplete tetraparesis. Twelve months initial device, patient began to experience recurrence trunk tightness and spasticity. Subsequent X-ray computed tomography evaluations system revealed pooling contrast medium outside distribution in lumbar subcutaneous region back therefore At surgical revision, emphasis was placed on minimizing length spine securing supraspinous fascia right-angled anchor. The distance between anchors entry point into also reduced prevent slipping when bends forward. After surgery, patient's improved and, 1 year later, he has experienced no further complications during follow-up, requiring average dose 150 mg/day. Here, we describe several methods intended secure migration. Other related failure are highlighted.
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