Abstract
This case report concerns a patient suffering from traumatic spinal cord injury with severe spasticity treated with intrathecal baclofen therapy. After revision surgery for a confirmed catheter obstruction, progressive spasticity reappeared. Diagnostics demonstrated signs of catheter fracture or disconnection adjacent to the pump. During revision surgery, the silicone layer surrounding the sutureless pump connector was shown to be curled up, revealing the cause of dysfunction. As far as we know, this form of malconnection has not been reported before. Therefore, surgeons must be aware of this complication and additional inspection of the silicone connector prior to definite connection is advised.
| Original language | English |
|---|---|
| Pages (from-to) | 2707-2710 |
| Number of pages | 4 |
| Journal | Acta neurochirurgica |
| Volume | 165 |
| Issue number | 9 |
| Early online date | 2023 |
| DOIs | |
| Publication status | Published - Sept 2023 |
Keywords
- Case report
- Disconnection
- Dysfunction
- Intrathecal baclofen (ITB)
- Malfunction
- Spinal cord injury (SCI)