TY  - JOUR
PY  - 2014//
TI  - Intrathecal baclofen therapy in children with acquired brain injuries after drowning: A case series
JO  - Brain injury
A1  - Walter, Matthias
A1  - Altermatt, Stefan
A1  - Furrer, Claudia
A1  - Meyer-Heim, Andreas
SP  - 98
EP  - 103
VL  - 29
IS  - 1
N2  - OBJECTIVE: To investigate clinical efficacy as well as the incidence and extent of complications regarding intrathecal baclofen (ITB) therapy in children. <br><br>METHODS: This is a retrospective medical chart review of three paediatric patients with acquired brain injuries (ABI) resulting from drowning who underwent ITB pump implantation for treatment of severe spasticity. <br><br>RESULTS: Compared to the pre-operative state, ITB therapy reduced spasticity with a corresponding decrease of modified Ashworth scale in upper (3.2 ± 1.4 to 1.3 ± 0.6) and lower extremities (3.5 ± 0.9 to 2.0 ± 1.0). Overall, six complications, five device-related and one accidental, were found in two out of three patients. <br><br>CONCLUSION: Intrathecal baclofen is an effective therapy option for paediatric patients with ABI after drowning to significantly reduce spasticity of upper and lower extremities. A word of caution must be addressed to the incidence and extent of complications related to ITB therapy.<p />  <p>Language: en</p>
LA  - en
SN  - 0269-9052
UR  - http://dx.doi.org/10.3109/02699052.2014.947630
ID  - ref1
ER  -