Tratamiento temprano de la cuadriparesia espástica y distonia severa con bombas infusión intratecal de flujo fijo / Spastic tetraparesis and severe dystonia treatment with intratechal fixed-flow bombs
Rev. argent. neurocir
;
25(3): 128-129, jul.-sept. 2011. ilus
Artigo
em Espanhol
| LILACS
| ID: lil-638887
ABSTRACT
Objective: to establish that the implantation of smaller fixed rate intrathecal infusion pumps is the best choice for the early treatment of severe spastic quadriparesis and dystonia and to determine its optimal placementMaterials and method: seven patients were implanted with fixed rate pumps. In two patients the indication was chronic pain and were excluded from the present study. Three patients were operated with 5.6 centimeters of diameter Tricumed pumps and two patients with Codman Arquimedes pumps. Results: two patients implanted with tricumed pumps and two with codman pump evolved favorably up to date, with a refill of 190, 200, 232 and 245 micrograms respectively. The device had to be explanted from the last patient due to post-op infection and dysfunction. Conclusion: early implantation of a baclofen pump facilitates and simplifies neuro-orthopedic treatments and gastrostomy implants. With an adequate subfascial technique and smaller infusion pumps satisfactory results can be achieved.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Pediatria
/
Quadriplegia
/
Bombas de Infusão
/
Paralisia Cerebral
Idioma:
Espanhol
Revista:
Rev. argent. neurocir
Assunto da revista:
Neurocirurgia
Ano de publicação:
2011
Tipo de documento:
Artigo
País de afiliação:
Argentina
Instituição/País de afiliação:
Hospital Nacional de Pediatría Profesor Doctor Juan P. Garrahan/AR
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