Neuropediatrics 2014; 45(05): 294-308
DOI: 10.1055/s-0034-1387818
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Use of Intrathecal Baclofen in Children and Adolescents: Interdisciplinary Consensus Table 2013

Steffen Berweck
1  Department of Paediatric Neurology and Rehabilitation, Epilepsy Center for Children and Adults, Schön Clinic Vogtareuth, Vogtareuth, Germany
,
Sonnhild Lütjen
1  Department of Paediatric Neurology and Rehabilitation, Epilepsy Center for Children and Adults, Schön Clinic Vogtareuth, Vogtareuth, Germany
,
Wolfgang Voss
2  Neuropaediatric Outpatient Center, Children's Hospital Auf Der Bult, Hannover, Germany
,
Uta Diebold
2  Neuropaediatric Outpatient Center, Children's Hospital Auf Der Bult, Hannover, Germany
,
Karl-Heinz Mücke
3  Department of Anaesthesia, Children's Intensive Care and Emergency Medicine, Children's Hospital Auf Der Bult, Hannover, Germany
,
Angelika Aisch
4  Neuropaediatric Outpatient Clinic, Kinderzentrum St. Martin, Regensburg, Germany
,
Bernhart Ostertag
4  Neuropaediatric Outpatient Clinic, Kinderzentrum St. Martin, Regensburg, Germany
,
Monika Friedrich
5  Neurosurgery Department, University Hospital Regensburg, Regensburg, Germany
,
Christiane Wagner
6  Neuropaediatric Outpatient Clinic, Sana Hospital, Berlin-Lichtenberg, Germany
,
Manfred Kudernatsch
7  Department of Neurosurgery, Schön Clinic Vogtareuth, Vogtareuth, Germany
,
Michael Granel
1  Department of Paediatric Neurology and Rehabilitation, Epilepsy Center for Children and Adults, Schön Clinic Vogtareuth, Vogtareuth, Germany
,
Gerhard Kluger
1  Department of Paediatric Neurology and Rehabilitation, Epilepsy Center for Children and Adults, Schön Clinic Vogtareuth, Vogtareuth, Germany
,
Barbara Ludwikowski
8  Department of Children's Surgery, Children's Hospital Auf Der Bult, Hannover, Germany
,
Aurelia Peraud
9  Department of Neurosurgery, Munich University, Munich, Germany
,
Markus Rauchenzauner
10  Children's Hospital, St. Vinzenz Hospital, Zams, Austria
,
A. Sebastian Schroeder
11  Department of Paediatric Neurology and Developmental Medicine, Dr. von Hauners Children's Hospital, University of Munich, Munich, Germany
,
Andreas Sprinz
12  Gait Laboratory, Motion Analysis and Therapy, Havixbeck, Germany
,
Rieke Wienand
1  Department of Paediatric Neurology and Rehabilitation, Epilepsy Center for Children and Adults, Schön Clinic Vogtareuth, Vogtareuth, Germany
,
Bernd Wilken
13  Department of Paediatric Neurology, Kassel Hospital, Kassel, Germany
,
Stefanie Kästner
14  Department of Neurosurgery, Kassel Hospital, Kassel, Germany
,
Caroline Zeches
1  Department of Paediatric Neurology and Rehabilitation, Epilepsy Center for Children and Adults, Schön Clinic Vogtareuth, Vogtareuth, Germany
,
Volker Mall
15  KBO Children's Centre, Munich, Germany
,
; The ITB Working Party› Author Affiliations
Further Information

Publication History

28 April 2014

23 June 2014

Publication Date:
04 September 2014 (eFirst)

Abstract

In recent years, intrathecal baclofen (ITB) has attained an important role in the treatment of severe spasticity and dystonia in children. There are principal differences between the use of ITB in children and its use in neurology and oncology in adults. Here, we present a consensus report on best practice for the treatment of severe spastic and dystonic movement disorders with ITB. Using a problem-orientated approach to integrate theories and methods, the consensus was developed by an interdisciplinary group of experienced ITB users and experts in the field of movement disorders involving 14 German centers. On the basis of the data pooled from more than 400 patients, the authors have summarized their experience and supporting evidence in tabular form to provide a concise, but still a comprehensive information base that represents our current understanding regarding ITB treatment options in children and adolescents.

* The ITB Working Party comprises A. Flechtenmacher (Gelsenkirchen), K. Keun-Sun (Heidelberg), K. Koch (Heidelberg), B. Kretzschmar (Eisenach), P. Kunkel (Hamburg-Altona), A. Lohr (Erfurt), B. Marks (Berlin), A. Merkenschlager (Leipzig), K. Müller (Meerbusch), A. Sarpong (Berlin).


Note: This consensus statement has been acknowledged by the boards of the following societies:


• Gesellschaft für Neuropädiatrie (GNP, Society for Neuropediatrics) (S.B.)


• Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin (DGAI, German Society of Anaesthesiology and Intensive Care Medicine) (M.K.H.)


• Deutsche Gesellschaft für Kinderchirugie (DGKCH, German Society for Paediatric Surgery (DGKCH) (L.B.)


• Arbeitsgemeinschaft Niedergelassener Neuropädiater (AG NPP, Working Party of Paediatric Neurologists in Private Practice) (S.A.)


• Deutsche Gesellschaft für Sozialpädiatrie und Jugendmedizin (DGSPJ, German Society for Social Paediatrics (DGSPJ) (W.B.)