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[Case report of intrathecal baclofen administration in a child with severe spasticity attributable to traumatic brain injury].
Brain Nerve. 2009 Mar; 61(3):313-5.BN

Abstract

We report a pediatric case of intrathecal baclofen therapy for severe spasticity following traumatic brain injury. A 14-year-old boy suffered from traumatic brain injury by traffic accident in 2005. Subsequently, he experienced tetraparesis and severe spasticity with spontaneous spasms. He underwent baclofen screening test, and his spasticity was improved. Thereafter intrathecal baclofen therapy was performed. Following baclofen pump implantation, Ashworth Score decreased from 4.0 points to 3.0 in lower limbs, and from 3.0 to 1.5 in upper limbs. His muscle tone was reduced and occurrence of spontaneous spasms stopped. Intrathecal baclofen therapy was observed to be an effective treatment for severe spasticity in childhood. Since children receiving the therapy demonstrated longer survival period than adults, long-term follow-up of this therapy is warranted.

Authors+Show Affiliations

Department of Neurosurgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

19301603

Citation

Matsuda, Ryosuke, et al. "[Case Report of Intrathecal Baclofen Administration in a Child With Severe Spasticity Attributable to Traumatic Brain Injury]." Brain and Nerve = Shinkei Kenkyu No Shinpo, vol. 61, no. 3, 2009, pp. 313-5.
Matsuda R, Nishimura F, Hirabayashi H, et al. [Case report of intrathecal baclofen administration in a child with severe spasticity attributable to traumatic brain injury]. Brain Nerve. 2009;61(3):313-5.
Matsuda, R., Nishimura, F., Hirabayashi, H., Motoyama, Y., Mishima, H., Park, Y. S., Nakase, H., & Sakaki, T. (2009). [Case report of intrathecal baclofen administration in a child with severe spasticity attributable to traumatic brain injury]. Brain and Nerve = Shinkei Kenkyu No Shinpo, 61(3), 313-5.
Matsuda R, et al. [Case Report of Intrathecal Baclofen Administration in a Child With Severe Spasticity Attributable to Traumatic Brain Injury]. Brain Nerve. 2009;61(3):313-5. PubMed PMID: 19301603.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Case report of intrathecal baclofen administration in a child with severe spasticity attributable to traumatic brain injury]. AU - Matsuda,Ryosuke, AU - Nishimura,Fumihiko, AU - Hirabayashi,Hidehiro, AU - Motoyama,Yasushi, AU - Mishima,Hideaki, AU - Park,Young-Su, AU - Nakase,Hiroyuki, AU - Sakaki,Toshisuke, PY - 2009/3/24/entrez PY - 2009/3/24/pubmed PY - 2009/5/21/medline SP - 313 EP - 5 JF - Brain and nerve = Shinkei kenkyu no shinpo JO - Brain Nerve VL - 61 IS - 3 N2 - We report a pediatric case of intrathecal baclofen therapy for severe spasticity following traumatic brain injury. A 14-year-old boy suffered from traumatic brain injury by traffic accident in 2005. Subsequently, he experienced tetraparesis and severe spasticity with spontaneous spasms. He underwent baclofen screening test, and his spasticity was improved. Thereafter intrathecal baclofen therapy was performed. Following baclofen pump implantation, Ashworth Score decreased from 4.0 points to 3.0 in lower limbs, and from 3.0 to 1.5 in upper limbs. His muscle tone was reduced and occurrence of spontaneous spasms stopped. Intrathecal baclofen therapy was observed to be an effective treatment for severe spasticity in childhood. Since children receiving the therapy demonstrated longer survival period than adults, long-term follow-up of this therapy is warranted. SN - 1881-6096 UR - https://www.unboundmedicine.com/medline/citation/19301603/[Case_report_of_intrathecal_baclofen_administration_in_a_child_with_severe_spasticity_attributable_to_traumatic_brain_injury]_ L2 - https://webview.isho.jp/openurl?rft.genre=article&rft.issn=1881-6096&rft.volume=61&rft.issue=3&rft.spage=313 DB - PRIME DP - Unbound Medicine ER -