Abstract
Objectives.Complex pain syndromes due to spasticity and central deafferentation often fail to respond to medical therapy and create challenging problems in the pain management. So far, only spasticity associated musculosceletal pain has been reported to respond to intrathecal baclofen application [1, 2].
Methods.We report the treatment of severe neuropathie pain in a patient with ED and the combined intrathecal application of baclofen and morphine in 5 patients with severe spasticity related pain.
Results.Continous intrathecal baclofen infusion resulted in a pain free period of 20 months in the patient with ED. Patients with spasticity treated with intrathecal application of baclofen and morphine were pain free for a mean period of 2 years.
Conclusion.Intrathecal baclofen and morphin application proved to be effective in spasticity related and central deafferentation pain and should therefore be considered in the management of these patients.
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Loubser PG, Akman NM (1996) Effects of intrathecal baclofen on chronic spinal cord injury pain. J Pain Symptom Manage 12(4): 241–247
Middleton JW, Siddall PJ, Walker S, Molloy AR, Rutkowski SB (1996) Intrathecal clonidin and baclofen in the management of spasticity and neuropathie pain following spinal cord injury: a case study. Arch Phys Med Rehabil 77(8): 824–826
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© 2002 Springer-Verlag Wien
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Gatscher, S., Becker, R., Uhle, E., Bertalanffy, H. (2002). Combined Intrathecal Baclofen and Morphine Infusion for the Treatment of Spasticity Related Pain and Central Deafferentiation Pain. In: von Wild, K.R.H. (eds) Functional Rehabilitation in Neurosurgery and Neurotraumatology. Acta Neurochirurgica Supplements, vol 79. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6105-0_16
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DOI: https://doi.org/10.1007/978-3-7091-6105-0_16
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-7283-4
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