Abstract
Study design: Case report of Baclofen pump catheter failure investigated by radioisotope injection.
Objectives: To report a safe and reliable method for evaluating catheter dysfunction.
Setting: France.
Methods: Single case report of failure of Baclofen pump investigated by radioisotope injection.
Results: The injection demonstrated the block in the catheter. The catheter failure was not visualised by plain X-ray nor by filling the pump with radio-opaque solution.
Conclusion: Catheter failure is a common cause of intrathecal drug delivery problems and may be difficult to diagnose. When catheter disconnection, kink, or dislodgement is not visible on X-ray, radioisotopic control is a safe and reliable method for assessment.
Spinal Cord (2001) 39, 283–285.
Similar content being viewed by others
Article PDF
References
Penn RD, Kroin JS . Long-term intrathecal baclofen for treatment of spasticity J Neurosurg 1987 66: 181–185
Coffey RJ et al. Intrathecal baclofen for intractable spasticity of spinal origin: results of a long-term multicenter study J Neurosurg 1993 78: 226–232
Penn RD . Intrathecal baclofen for spasticity of spinal origin: seven years of experience J Neurosurg 1992 77: 236–240
Rosenson AS, Ali A, Fordham EW, Penn RD . Indium 111 DTPA flow study to evaluate surgically drug pump delivery system Clin Nuclear Med 1990 15: 154–156
Ochs G, Struppler A, Meyerson BA . Intrathecal baclofen for long term treatment of spasticity: a multicenter study J Neurol Neurosurg Psychiatry 1989 52: 933–939
Lazorthes Y et al. Chronic intrathecal baclofen administration for control of severe spasticity J Neurosurg 1990 72: 393–402
Penn RD, York MM, Paice JA . Catheter systems for intrathecal drug delivery J Neurosurg 1995 83: 215–217
Azouvi P et al. Intrathecal baclofen administration for control of severe spinal spasticity: functional improvement and long-term follow-up Arch Phys Med Rehab 1996 77: 35–39
Reeves RK, Stolp-Smith KA, Christopherson MW . Hyperthermia, rhabdomyolisis, and disseminated intravascular coagulation associated with baclofen pump catheter failure Arch Phys Med Rehab 1998 79: 353–356
Schurch B . Errors and limitations of the multimodality checking methods of detective spinal pump systems. Case report Paraplegia 1993 31: 611–615
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Le Breton, F., Daviet, J., Monteil, J. et al. Radioisotopic control for baclofen pump catheter failure. Spinal Cord 39, 283–285 (2001). https://doi.org/10.1038/sj.sc.3101142
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.sc.3101142
Keywords
This article is cited by
-
Unique form of catheter malconnection following intrathecal baclofen surgery for spinal cord injury: a case report
Acta Neurochirurgica (2023)
-
Neurologische Komplikationen und Wirkverlust unter intrathekaler Schmerztherapie
Der Schmerz (2005)
-
A low-dose radioisotope procedure for assessment of subcutaneous drug delivery systems used for slow intrathecal infusion of antispasmodic agents
Spinal Cord (2004)
-
Treatment of spasticity with intrathecal Baclofen administration: long-term follow-up, review of 40 patients
Spinal Cord (2004)
-
Bladder stones – red herring for resurgence of spasticity in a spinal cord injury patient with implantation of Medtronic Synchromed pump for intrathecal delivery of baclofen – a case report
BMC Urology (2003)