The Use of an Indium¹¹¹ DTPA Flow Study in the Evaluation of a Lumbar Swelling in a Girl with a Baclofen Pump

Abstract

Objective: The aim of this study was to introduce a useful diagnostic method to evaluate baclofen pump system-related complications without disturbing the continuous delivery of intrathecal baclofen. Methods: We present a case report on the use of an indium¹¹¹ diethylenetriaminepentaacetic acid (DTPA) flow study in the evaluation of a lumbar swelling in a 16-year-old girl with spastic cerebral palsy, treated with continuous intrathecal baclofen (CITB). Results: Disconnection or damage of the catheter leading to leakage of baclofen into the lumbar swelling could be ruled out by the use of an indium¹¹¹ DTPA flow study. This is the first report to illustrate the implementation of an lndium¹¹¹ DTPA flow study without interrupting the infusion of CITB. Conclusion: An indium¹¹¹ DTPA flow study is a non-invasive, safe and patient friendly diagnostic method which can be of great help in the evaluation of pump- or catheter-related complications and does not need to interfere with the delivery of CITB.

Key words

Baclofen - infusion pumps - spinal injection - indium DTPA - complications

References

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