Intrathecal Baclofen Infusion Pump for the Treatment of Painful Spastic Hemiplegia: A Case Report

Painful spastic hemiplegia is a common sequel to a stroke in which patients rarely achieve optimal levels of pain control. Herein, we report the case of a 62-year-old woman with painful spasticity secondary to an ischemic stroke of 15 years' evolution who received multiple pharmacological treat...

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Published in:Cureus 2023, Vol.15 (9), p.e44503-e44503
Main Authors: Medina-Pérez, Juan J, Vega-Rosas, Andrés, Martínez-Espinosa, Rubén A, Chávez-González, Daniel, Coubert-Pelayo, Silvia G
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container_title Cureus
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Vega-Rosas, Andrés
Martínez-Espinosa, Rubén A
Chávez-González, Daniel
Coubert-Pelayo, Silvia G
description Painful spastic hemiplegia is a common sequel to a stroke in which patients rarely achieve optimal levels of pain control. Herein, we report the case of a 62-year-old woman with painful spasticity secondary to an ischemic stroke of 15 years' evolution who received multiple pharmacological treatments without reaching motor or pain management goals. After an adequate analgesic response to the intrathecal baclofen test, the placement of an electromechanical pump was decided, reaching an effective maintenance dose of 150 μg per day. Despite achieving partial improvement in spasticity, optimal pain remission was achieved.
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title Intrathecal Baclofen Infusion Pump for the Treatment of Painful Spastic Hemiplegia: A Case Report
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