Intrathecal Baclofen Therapy for the Treatment of Spasticity in Lithuania

Robertas Kvascevicius; Ona Lapteva; Jurate Kesiene; Alfredas Vaitkus; Laima Mikulenaite; Ramunas Raugalas; Jurate Sipylaite; Saulius Rocka; Alvydas Juocevicius

doi:10.1055/s-0036-1593973

Journal of Neurological Surgery Part A: Central European Neurosurgery, Inhaltsverzeichnis

J Neurol Surg A Cent Eur Neurosurg 2017; 78(03): 281-285
DOI: 10.1055/s-0036-1593973

Review Article

Georg Thieme Verlag KG Stuttgart · New York

Intrathecal Baclofen Therapy for the Treatment of Spasticity in Lithuania

Robertas Kvascevicius

¹Centre of Neurosurgery, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania

²Clinic of Neurology and Neurosurgery, Vilnius University, Vilnius, Lithuania

,

Ona Lapteva

¹Centre of Neurosurgery, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania

²Clinic of Neurology and Neurosurgery, Vilnius University, Vilnius, Lithuania

,

Jurate Kesiene

³Centre of Rehabilitation and Physical Medicine, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania

,

Alfredas Vaitkus

⁴Centre of Anaesthesiology, Intensive Therapy and Pain Management, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania

,

Laima Mikulenaite

⁵Child Development Centre, Affiliate of Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania

,

Ramunas Raugalas

⁶Children's Hospital, Affiliate of Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania

,

Jurate Sipylaite

⁴Centre of Anaesthesiology, Intensive Therapy and Pain Management, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania

,

Saulius Rocka

¹Centre of Neurosurgery, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania

²Clinic of Neurology and Neurosurgery, Vilnius University, Vilnius, Lithuania

,

Alvydas Juocevicius

³Centre of Rehabilitation and Physical Medicine, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania

› Institutsangaben

Abstract

Spasticity of cerebral or spinal origin severely impairs an individual's functional ability and quality of life. Intrathecal baclofen (ITB) therapy via an implantable pump is indicated for use in patients unresponsive to oral antispasmodics. ITB therapy improves the daily caring for and relief of painful spasms. In Lithuania, ITB therapy was introduced in clinical practice just recently. We share our experience of spasticity management with the ITB pump system in five patients at Vilnius University Hospital Santariskiu Klinikos. Four patients had spastic tetraplegia associated with cerebral palsy, and one patient developed spastic paraplegia after a spinal epidural abscess.

Keywords

intrathecal baclofen therapy - spasticity - cerebral palsy

Volltext

Referenzen

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