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J Neurol Surg A Cent Eur Neurosurg 2017; 78(03): 281-285
DOI: 10.1055/s-0036-1593973
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Intrathecal Baclofen Therapy for the Treatment of Spasticity in Lithuania

Robertas Kvascevicius
1   Centre of Neurosurgery, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania
2   Clinic of Neurology and Neurosurgery, Vilnius University, Vilnius, Lithuania
,
Ona Lapteva
1   Centre of Neurosurgery, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania
2   Clinic of Neurology and Neurosurgery, Vilnius University, Vilnius, Lithuania
,
Jurate Kesiene
3   Centre of Rehabilitation and Physical Medicine, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania
,
Alfredas Vaitkus
4   Centre of Anaesthesiology, Intensive Therapy and Pain Management, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania
,
Laima Mikulenaite
5   Child Development Centre, Affiliate of Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania
,
Ramunas Raugalas
6   Children's Hospital, Affiliate of Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania
,
Jurate Sipylaite
4   Centre of Anaesthesiology, Intensive Therapy and Pain Management, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania
,
Saulius Rocka
1   Centre of Neurosurgery, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania
2   Clinic of Neurology and Neurosurgery, Vilnius University, Vilnius, Lithuania
,
Alvydas Juocevicius
3   Centre of Rehabilitation and Physical Medicine, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania
› Author Affiliations
Further Information

Publication History

27 February 2016

27 May 2016

Publication Date:
30 November 2016 (online)

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Abstract

Spasticity of cerebral or spinal origin severely impairs an individual's functional ability and quality of life. Intrathecal baclofen (ITB) therapy via an implantable pump is indicated for use in patients unresponsive to oral antispasmodics. ITB therapy improves the daily caring for and relief of painful spasms. In Lithuania, ITB therapy was introduced in clinical practice just recently. We share our experience of spasticity management with the ITB pump system in five patients at Vilnius University Hospital Santariskiu Klinikos. Four patients had spastic tetraplegia associated with cerebral palsy, and one patient developed spastic paraplegia after a spinal epidural abscess.

Keywords

intrathecal baclofen therapy - spasticity - cerebral palsy
 

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