scholarly journals An efficient multidisciplinary approach in a pregnant patient with hereditary spastic paraparesis treated by intrathecal baclofen therapy: A case report

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Fostier M ◽  
◽  
Roland V ◽  
Dereine T ◽  
Deltombe T ◽  
...  
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Spastic Paraparesis ◽  
Pregnant Patient ◽  
Anaesthetic Management ◽  
Intrathecal Baclofen ◽  
Intrathecal Catheter ◽  
Hereditary Spastic Paraparesis ◽  
Intrathecal Baclofen Therapy ◽  
Pregnancy And Delivery

Literature regarding cases of pregnant patients with hereditary spastic paraparesis (Strumpell-Lorrain disease) and those treated by intrathecal baclofen therapy is sparse. There are currently no specific guidelines to manage pregnancy and delivery in these patients. A 42-year-old woman presented to our clinic with hereditary spastic paraparesis and was treated with intrathecal baclofen for spasticity. She conceived twice and delivered successfully by caesarean section under subarachnoid anaesthesia. The two pregnancies had favourable outcomes with no increase in spasticity and no problems encountered with the intrathecal device. In this report, we discuss the evolution of both pregnancies and the anaesthetic management for deliveries in the presence of an intrathecal catheter. Keywords: Caesarean section; case report; hereditary spastic paraparesis; intrathecal baclofen; pregnancy.

Intrathecal baclofen therapy for spasticity of cerebral origin—does the position of the intrathecal catheter matter?

2010 ◽  
Vol 26 (8) ◽  
pp. 1097-1102 ◽  
Author(s):  
Gnanamurthy Sivakumar ◽  
Yoong Yap ◽  
Mekidm Tsegaye ◽  
Michael Vloeberghs
Keyword(s):  
Intrathecal Baclofen ◽  
Intrathecal Catheter ◽  
Intrathecal Baclofen Therapy

scholarly journals Anaesthetic Management of Two Patients with Pompe Disease for Caesarean Section

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
I. J. J. Dons-Sinke ◽  
M. Dirckx ◽  
G. P. Scoones
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Enzyme Replacement Therapy ◽  
Replacement Therapy ◽  
Pompe Disease ◽  
Muscle Function ◽  
Respiratory Muscle ◽  
Late Onset ◽  
Anaesthetic Management ◽  
Enzyme Replacement

The introduction of enzyme replacement therapy and the resultant stabilisation or improvement in mobility and respiratory muscle function afforded to patients with late-onset Pompe may lead to an increased number of Pompe patients prepared to accept the challenges of parenthood. In this case report, we describe our anaesthetic management of two patients with Pompe disease for a caesarean section.

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.

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