Article ; Online: Brief pump externalization without ITB wean to treat a probable pocket infection.
2023 Volume 39, Issue 12, Page(s) 3643–3645
Abstract: BACKGROUND AND IMPORTANCE: Intrathecal baclofen (ITB) pumps are an effective management tool for spasticity and dystonia. In the pediatric population, ITB complications including infection are common, and strategies to minimize their impact are important. ...
Abstract | BACKGROUND AND IMPORTANCE: Intrathecal baclofen (ITB) pumps are an effective management tool for spasticity and dystonia. In the pediatric population, ITB complications including infection are common, and strategies to minimize their impact are important. Current standard of care for pump infection involves a wean of the ITB therapy followed by explantation of the hardware, which can be a three to 6-month process. CLINICAL PRESENTATION: We present a 20-year-old female who developed an pump pocket infection after revision. The pump was removed from the body but left connected. The pocket was debrided, thoroughly washed, and packed with multiple microbicidal agents. Nine days later, a new pump and proximal catheter was re-implanted without complications or interruption of medication administered intrathecally. One year later, the patient is doing well without any infectious problems. CONCLUSION: To our knowledge, this is the first report of an externalized pump and expedited reimplantation without a break in ITB therapy. Further studies are required in order to best characterize this technique as a potential alternative for infected baclofen pump pockets. |
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MeSH term(s) | Female ; Humans ; Young Adult ; Baclofen/therapeutic use ; Infusion Pumps, Implantable ; Muscle Relaxants, Central/therapeutic use ; Muscle Spasticity/drug therapy |
Chemical Substances | Baclofen (H789N3FKE8) ; Muscle Relaxants, Central |
Language | English |
Publishing date | 2023-07-17 |
Publishing country | Germany |
Document type | Case Reports ; Journal Article |
ZDB-ID | 605988-0 |
ISSN | 1433-0350 ; 0302-2803 ; 0256-7040 |
ISSN (online) | 1433-0350 |
ISSN | 0302-2803 ; 0256-7040 |
DOI | 10.1007/s00381-023-06075-z |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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