Dose-dependent Changes in Gait Pattern after Intrathecal Baclofen Bolus Injection in Adult Ambulatory Cerebral Palsy: A Case Report

2015 ◽  
Vol 8 (2) ◽  
pp. 104
Author(s):  
Yoon-Kyum Shin ◽  
Ae Ryung Kim ◽  
Jin Woo Chang ◽  
Won Seok Chang ◽  
Don Shin Lee ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Case Report ◽  
Bolus Injection ◽  
Intrathecal Baclofen ◽  
Gait Pattern ◽  
Dose Dependent

scholarly journals Pseudomeningocoele after baclofen pump placement in a child: a case report and preventive measures

2017 ◽  
Vol 31 (4) ◽  
pp. 536-539
Author(s):  
Rahul Gupta ◽  
Abhay Singh ◽  
Gangesh Gunjan ◽  
Harjinder Singh Bhatoe
Keyword(s):  
Cerebral Palsy ◽  
Case Report ◽  
Pediatric Patient ◽  
Preventive Measures ◽  
Adult Population ◽  
Intrathecal Baclofen ◽  
Csf Leak ◽  
Intrathecal Baclofen Therapy ◽  
Pump Placement ◽  
Pump Implantation

Abstract Intrathecal baclofen therapy is a well-established means of treating intractable spasticity and dystonia in paediatric as well as adult population. Complications of baclofen pump placement include infection, malfunctioning and refraction to baclofen. We report a case of eight year child suffering from spasticity due to cerebral palsy, who developed pseudomeningocoele due to peri-catheter leak. Steps and precaution pertaining to pump implantation in a child are discussed. Baclofen pump insertion in a child needs some extra precautions due to non-availability of pediatric implants and poor built of the pediatric patient to adjust with a bulky device. Preventive measures should be taken to prevent peri-catheter CSF leak.

Do Not Do this Case Report: Recurrence of Knee Flexion Contracture after Extension Osteotomy in Congenital Patellar Dislocation: The Importance of a Thorough Patient Evaluation

2020 ◽  
Author(s):  
Soroush Baghdadi ◽  
Taghi Baghdadi
Keyword(s):  
Cerebral Palsy ◽  
Case Report ◽  
Knee Flexion ◽  
Patellar Dislocation ◽  
Gait Pattern ◽  
Flexion Contracture ◽  
Tibial Rotation ◽  
Patient Evaluation ◽  
Second Surgery ◽  
Crouch Gait

Background: Congenital patellar dislocation (CPD) is a rare disorder which presents with hypoplastic and irreducible patellae. It is accompanied by flexion contracture of the knee joint, genu valgum, and external tibial rotation. Case Report: A seven-year-old girl with CPD who was misdiagnosed as having cerebral palsy (CP) crouch gait and underwent distal femoral extension osteotomy (DFEO) without paying attention to the dislocated patellae, is presented. Recurrence ensued, and the patient was referred for further evaluation. After a second surgery to address the dislocated patellae, the flexion contracture and gait pattern improved significantly. Conclusion: The case underscores the importance of a systematic, thorough physical examination, without which uncommon diagnoses will be overlooked, exposing the patient to further morbidity and complications.

Poster 446 Unusual Complication of Intrathecal Baclofen Pump and Catheter Placement in a Child with Cerebral Palsy: A Case Report

PM&R ◽  
2012 ◽  
Vol 4 ◽  
pp. S343-S343 ◽  
Author(s):  
Nancy Henry-Socha ◽  
Nanette Aldahondo ◽  
Peter D. Kim ◽  
Linda E. Krach
Keyword(s):  
Cerebral Palsy ◽  
Case Report ◽  
Intrathecal Baclofen ◽  
Catheter Placement ◽  
Unusual Complication

scholarly journals Prepontine placement of an intrathecal baclofen pump catheter for treatment of dystonia

2021 ◽  
Vol 12 ◽  
pp. 477
Author(s):  
Thomas Gianaris ◽  
Ryan M. Holland ◽  
Nicolas W. Villelli ◽  
Albert E. Lee
Keyword(s):  
Cerebral Palsy ◽  
Case Report ◽  
Intrathecal Baclofen ◽  
Catheter Placement ◽  
Withdrawal Symptoms ◽  
Third Ventriculostomy ◽  
Pump Therapy ◽  
Pump Failure ◽  
Baclofen Withdrawal ◽  
Lumbar Catheter

Background: Cerebral palsy with medically refractory spasticity and dystonia is a condition that often benefits from intrathecal baclofen pump therapy to treat these symptoms. In this case report, an intracranial baclofen catheter was placed in the prepontine space to improve withdrawal symptoms in a patient unable to undergo new lumbar catheter placement due to infection. Case Description: A 22-year-old female with past medical history of cerebral palsy presented with baclofen pump failure and was unable to undergo placement of a new lumbar baclofen catheter due to an infection in her lower back precluding safe and efficacious catheter placement. It was decided the patient would benefit from intrathecal baclofen administered in the prepontine space as a means to avoid a lumbar catheter and thus bypass this prior infection site. An endoscopic third ventriculostomy (ETV) was performed with the endoscope and the distal end of the baclofen pump catheter was fed through this ETV into the prepontine space. Placement in the prepontine space was confirmed by a follow-up head computed tomography. There was a significant improvement in autonomic symptoms and spasticity. By postoperative day 5, the patient was surgically and medically cleared for discharge. Conclusion: In cases of severe baclofen withdrawal due to dysfunctional pumps, immediate reversal is preferred but may not be feasible due to factors such as infection. This case report has demonstrated that prepontine catheter placement can be effective for the administration of baclofen to reverse withdrawal symptoms in these types of patients.

Influence of gait pattern on the body's centre of mass displacement in children with cerebral palsy

2004 ◽  
Vol 46 (10) ◽  
Author(s):  
Firas Massaad ◽  
Frédéric Dierick ◽  
Adélaïde van den Hecke ◽  
Christine Detrembleur
Keyword(s):  
Cerebral Palsy ◽  
Gait Pattern ◽  
Centre Of Mass ◽  
Children With Cerebral Palsy ◽  
Mass Displacement
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