58-293

Perfusión de baclofeno intratecal para el tratamiento de la espasticidad. Rotura del cateter. Caso clínico

Intrathecal baclofen perfusion for the treatment of spasticity. Catheter rupture. Case report.

LEDESMA GALEY L, MÉNDEZ LÓPEZ JM INSTITUT GUTTMANN. DEPARTAMENTO DE NEUROORTOPEDIA.
Recepción:
20/03/2023
Aceptación:
20/03/2023
Publicación:
20/03/2023


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Resumen (ES)

Intrathecal therapy with baclofen is used for the treatment of severe spasticity, either of central or spinal origin. The
system has an infusion pump and a catheter through which the administration of baclofen is allowed within the
subarachnoid space, both spinal cord and brain. This therapy is indicated when there is an insufficient response to oral
medication, and the dose cannot be further increased due to undesirable side effects. This method is associated with a
number of complications. Depending on the series, the incidence ranges from 25% to 30%. The highest being those
related to the catheter, reaching up to 16.5%. These range from its malfunction to the time of its replacement. The latter
being the one that will be exposed in the clinical case

Palabras clave (ES):

bomba
de
baclofeno
catéter
intratecal
malfuncionamiento
complicaciones
:

Resumen (EN)

Intrathecal therapy with baclofen is used for the treatment of severe spasticity, either of central or spinal origin. The
system has an infusion pump and a catheter through which the administration of baclofen is allowed within the
subarachnoid space, both spinal cord and brain. This therapy is indicated when there is an insufficient response to oral
medication, and the dose cannot be further increased due to undesirable side effects. This method is associated with a
number of complications. Depending on the series, the incidence ranges from 25% to 30%. The highest being those
related to the catheter, reaching up to 16.5%. These range from its malfunction to the time of its replacement. The latter
being the one that will be exposed in the clinical case

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