Unique form of catheter malconnection following intrathecal baclofen surgery for spinal cord injury: a case report

被引:0
|
作者
Raoul J. Koopmans
Carel G. M. Meskers
Vincent de Groot
K. Mariam Slot
机构
[1] Amsterdam UMC Location University of Amsterdam,Department of Neurosurgery
[2] Amsterdam UMC Location Vrije Universiteit Amsterdam,Department of Rehabilitation Medicine
[3] Amsterdam Movement Sciences,undefined
[4] Rehabilitation & Development,undefined
来源
Acta Neurochirurgica | 2023年 / 165卷
关键词
Disconnection; Dysfunction; Malfunction; Intrathecal baclofen (ITB); Spinal cord injury (SCI); Case report;
D O I
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学科分类号
摘要
This case report concerns a patient suffering from traumatic spinal cord injury with severe spasticity treated with intrathecal baclofen therapy. After revision surgery for a confirmed catheter obstruction, progressive spasticity reappeared. Diagnostics demonstrated signs of catheter fracture or disconnection adjacent to the pump. During revision surgery, the silicone layer surrounding the sutureless pump connector was shown to be curled up, revealing the cause of dysfunction. As far as we know, this form of malconnection has not been reported before. Therefore, surgeons must be aware of this complication and additional inspection of the silicone connector prior to definite connection is advised.
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页码:2707 / 2710
页数:3
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