Intrathecal baclofen pump implantation for complex regional pain syndrome in a patient with a spinal cord stimulator: consideration about optimal location of intrathecal catheter tip: A case report
Anesthesia and Pain Medicine
;
: 201-206, 2018.
Article
in English
| WPRIM
| ID: wpr-714054
ABSTRACT
Intrathecal baclofen (ITB) pump implantation can be used to control dystonia and severe pain associated with complex regional pain syndrome (CRPS) with or without a spinal cord stimulator (SCS). A 45-year-old female patient had gotten an SCS to control the pain of CRPS. However, she suffered from chronic intractable pain in her left ankle and foot despite paresthesia in the entire painful area because the effectiveness of the SCS gradually diminished over time. In a trial of intrathecal drug administration, baclofen was superior to morphine for pain relief, had fewer side effects, and was superior in terms of patient satisfaction. To achieve the greatest degree of pain relief from the ITB pump, the tip of the intrathecal catheter was carefully placed in relation to the SCS. Over a one-year follow-up period, the patient experienced mild pain without any adverse effects.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Intractable
/
Paresthesia
/
Spinal Cord
/
Baclofen
/
Follow-Up Studies
/
Patient Satisfaction
/
Dystonia
/
Catheters
/
Spinal Cord Stimulation
/
Foot
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Anesthesia and Pain Medicine
Year:
2018
Type:
Article
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