Worsening spasticity due to catheter breakage during intrathecal baclofen therapy: a case report
Abstract Background Intrathecal baclofen therapy can substantially improve symptoms in patients with severe spasticity owing to traumatic spinal cord injury, multiple sclerosis, cerebral paresis, or tethered cord syndrome. Problems associated with intrathecal catheters include migration, laceration,...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-025-05045-0 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832585691208351744 |
|---|---|
| author | Yasutaka Takagi Hiroshi Yamada Hidehumi Ebara Hiroyuki Hayashi Hiroyuki Inatani Yuta Nakamura Ryo Sugihara Aki Nakanami Kenji Kagechika Tetsutaro Yahata Satoru Demura |
| author_facet | Yasutaka Takagi Hiroshi Yamada Hidehumi Ebara Hiroyuki Hayashi Hiroyuki Inatani Yuta Nakamura Ryo Sugihara Aki Nakanami Kenji Kagechika Tetsutaro Yahata Satoru Demura |
| author_sort | Yasutaka Takagi |
| collection | DOAJ |
| description | Abstract Background Intrathecal baclofen therapy can substantially improve symptoms in patients with severe spasticity owing to traumatic spinal cord injury, multiple sclerosis, cerebral paresis, or tethered cord syndrome. Problems associated with intrathecal catheters include migration, laceration, occlusion, or disconnection. Several case reports have described the management of catheter fragments. To the best of our knowledge, this is the first detailed report of the insertion of a new catheter. Case presentation A 64-year-old Japanese man with spinal myoclonus was undergoing intrathecal baclofen therapy; his spasticity was well controlled with intrathecal baclofen therapy but worsened 13 years after pump implantation. Imaging revealed spinal catheter breakage, and the catheter was retained in the spinal canal. We inserted a new catheter through a different intervertebral space without removing the original catheter. Postoperatively, the spasticity remained well controlled with intrathecal baclofen therapy. Conclusion This is the first detailed report on the insertion of a new catheter for intrathecal baclofen therapy at a different intervertebral space from the catheter breakage, without removal of the old intrathecal catheter. |
| format | Article |
| id | doaj-art-1f03f0a663f3455fb921d00e22a3a949 |
| institution | Kabale University |
| issn | 1752-1947 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj-art-1f03f0a663f3455fb921d00e22a3a9492025-01-26T12:35:31ZengBMCJournal of Medical Case Reports1752-19472025-01-011911610.1186/s13256-025-05045-0Worsening spasticity due to catheter breakage during intrathecal baclofen therapy: a case reportYasutaka Takagi0Hiroshi Yamada1Hidehumi Ebara2Hiroyuki Hayashi3Hiroyuki Inatani4Yuta Nakamura5Ryo Sugihara6Aki Nakanami7Kenji Kagechika8Tetsutaro Yahata9Satoru Demura10Department of Orthopedic Surgery, Tonami General HospitalDepartment of Orthopedic Surgery, Tonami General HospitalDepartment of Orthopedic Surgery, Tonami General HospitalDepartment of Orthopedic Surgery, Tonami General HospitalDepartment of Orthopedic Surgery, Tonami General HospitalDepartment of Orthopedic Surgery, Tonami General HospitalDepartment of Orthopedic Surgery, Tonami General HospitalDepartment of Rehabilitation Medicine, Tonami General HospitalDepartment of Rehabilitation Medicine, Toyama Prefectural Rehabilitation Hospital and Support Center for Children with DisabilitiesDepartment of Rehabilitation Medicine, Kanazawa University HospitalDepartment of Orthopedic Surgery, Graduate School of Medicine, Kanazawa UniversityAbstract Background Intrathecal baclofen therapy can substantially improve symptoms in patients with severe spasticity owing to traumatic spinal cord injury, multiple sclerosis, cerebral paresis, or tethered cord syndrome. Problems associated with intrathecal catheters include migration, laceration, occlusion, or disconnection. Several case reports have described the management of catheter fragments. To the best of our knowledge, this is the first detailed report of the insertion of a new catheter. Case presentation A 64-year-old Japanese man with spinal myoclonus was undergoing intrathecal baclofen therapy; his spasticity was well controlled with intrathecal baclofen therapy but worsened 13 years after pump implantation. Imaging revealed spinal catheter breakage, and the catheter was retained in the spinal canal. We inserted a new catheter through a different intervertebral space without removing the original catheter. Postoperatively, the spasticity remained well controlled with intrathecal baclofen therapy. Conclusion This is the first detailed report on the insertion of a new catheter for intrathecal baclofen therapy at a different intervertebral space from the catheter breakage, without removal of the old intrathecal catheter.https://doi.org/10.1186/s13256-025-05045-0Intrathecal baclofenCatheterComplications |
| spellingShingle | Yasutaka Takagi Hiroshi Yamada Hidehumi Ebara Hiroyuki Hayashi Hiroyuki Inatani Yuta Nakamura Ryo Sugihara Aki Nakanami Kenji Kagechika Tetsutaro Yahata Satoru Demura Worsening spasticity due to catheter breakage during intrathecal baclofen therapy: a case report Journal of Medical Case Reports Intrathecal baclofen Catheter Complications |
| title | Worsening spasticity due to catheter breakage during intrathecal baclofen therapy: a case report |
| title_full | Worsening spasticity due to catheter breakage during intrathecal baclofen therapy: a case report |
| title_fullStr | Worsening spasticity due to catheter breakage during intrathecal baclofen therapy: a case report |
| title_full_unstemmed | Worsening spasticity due to catheter breakage during intrathecal baclofen therapy: a case report |
| title_short | Worsening spasticity due to catheter breakage during intrathecal baclofen therapy: a case report |
| title_sort | worsening spasticity due to catheter breakage during intrathecal baclofen therapy a case report |
| topic | Intrathecal baclofen Catheter Complications |
| url | https://doi.org/10.1186/s13256-025-05045-0 |
| work_keys_str_mv | AT yasutakatakagi worseningspasticityduetocatheterbreakageduringintrathecalbaclofentherapyacasereport AT hiroshiyamada worseningspasticityduetocatheterbreakageduringintrathecalbaclofentherapyacasereport AT hidehumiebara worseningspasticityduetocatheterbreakageduringintrathecalbaclofentherapyacasereport AT hiroyukihayashi worseningspasticityduetocatheterbreakageduringintrathecalbaclofentherapyacasereport AT hiroyukiinatani worseningspasticityduetocatheterbreakageduringintrathecalbaclofentherapyacasereport AT yutanakamura worseningspasticityduetocatheterbreakageduringintrathecalbaclofentherapyacasereport AT ryosugihara worseningspasticityduetocatheterbreakageduringintrathecalbaclofentherapyacasereport AT akinakanami worseningspasticityduetocatheterbreakageduringintrathecalbaclofentherapyacasereport AT kenjikagechika worseningspasticityduetocatheterbreakageduringintrathecalbaclofentherapyacasereport AT tetsutaroyahata worseningspasticityduetocatheterbreakageduringintrathecalbaclofentherapyacasereport AT satorudemura worseningspasticityduetocatheterbreakageduringintrathecalbaclofentherapyacasereport |