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Review article
DOI: 10.1016/j.neucie.2019.05.003
Available online 29 July 2019
Intrathecal baclofen as a treatment for spasticity: Review of the cases treated in our hospital
Baclofeno intratecal para el tratamiento de la espasticidad: revisión de los casos presentes tratados en nuestro servicio
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José María Santin-Amo
Corresponding author
cochemelide@hotmail.com

Corresponding author.
, Ana Flores-Justa, Paula Román-Pena, Martín Raposo-Furelos, Carla Frieiro-Dantas, Ramón Serramito García, Juan Manuel Villa, Miguel Gelabert-González
Servicio de Neurocirugía, Hospital Clínico Universitario de Santiago de Compostela, Departamento de Cirugía, Universidad de Santiago de Compostela, Santiago de Compostela, Spain
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Received 06 January 2019. Accepted 02 May 2019
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Tables (2)
Table 1. Ashworth Scale.
Table 2. Penn Scale.
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Abstract
Introduction

Spasticity represents a medical problem whose incidence is increasing during the last years due to pathologies such as cerebral palsy, stroke, multiple sclerosis, trauma or encephalopathy, affecting both adults and children. The treatments include rehabilitation, pharmacotherapy and surgery, among which we highlight intrathecal baclofen infusion devices.

Material and methods

Intrathecal baclofen devices implanted patients in Clinical Hospital of Santiago de Compostela from 2005 to 2018 were selected for retrospective analysis using assessment of spasticity scales, such as Ashworth Scale. Complications are described.

Results

Surgery was performed in 17 patients for baclofen pump implant, achieving an improvement of 2 points on the Ashworth Scale in 88.2% of the patients and of 1 point on the Penn Scale in 94%. Complications were seen in 3 patients.

Conclusions

Intrathecal baclofen is a simple technique with good results for improving the quality of life of patients with spasticity.

Keywords:
Spasticity
Baclofen
Ashworth
Surgical treatment
Resumen
Introducción

La espasticidad representa un problema médico cuya incidencia está aumentando debido a enfermedades como parálisis cerebral, ictus, esclerosis múltiple, traumatismos o encefalopatías, afectando tanto a adultos como a niños. Los tratamientos incluyen rehabilitación, farmacoterapia y cirugía, entre las cuales destacamos las bombas de baclofeno intratecal.

Material y métodos

Seleccionamos a los pacientes portadores de bomba de baclofeno intratecal implantada en el Hospital Clínico de Santiago de Compostela entre 2005-2018 y analizamos retrospectivamente los resultados mediante escalas de valoración de espasticidad, como la de Ashworth, así como las complicaciones observadas.

Resultados

Se implantaron bombas de baclofeno a 17 pacientes, obteniendo una mejoría de 2 puntos en la escala de Ashworth en el 88,2% y de 1 punto en la escala de Penn en el 94%. Se observaron complicaciones en 3 pacientes.

Conclusiones

El tratamiento con baclofeno intratecal es una técnica sencilla con resultados muy positivos para mejorar la calidad de vida de pacientes con espasticidad.

Palabras clave:
Espasticidad
Baclofeno
Ashworth
Tratamiento quirúrgico

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