Treatment of spasticity in a spinal cord-injured patient with intrathecal morphine due to intrathecal baclofen tolerance--a case report and review of literature.
case_report · Level V
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Abstract
Case report. To report treatment of spasticity in a spinal cord-injured person with intrathecal morphine after the person developed tolerance to intrathecal baclofen. Spasticity in a 36-year-old man with T6 complete paraplegia was treated with increasing doses of intrathecal baclofen. When he developed tolerance to intrathecal baclofen, he was given continuous infusion of morphine intrathecally. Regional Spinal Injuries Centre, UK. Spasticity was adequately controlled by intrathecal morphine. In spinal cord-injured patients with severe spasticity, who become tolerant to intrathecal baclofen, treatment with intrathecal morphine may be useful.
Medical subject headings
- Drug Tolerance
- Morphine
- Muscle Spasticity
- Narcotics
- Spinal Cord Injuries