Unique form of catheter malconnection following intrathecal baclofen surgery for spinal cord injury: a case report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 37479916.
- Also identified by DOI 10.1007/s00701-023-05718-z and PMC identifier 10477089.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
This case report concerns a patient suffering from traumatic spinal cord injury with severe spasticity treated with intrathecal baclofen therapy. After revision surgery for a confirmed catheter obstruction, progressive spasticity reappeared. Diagnostics demonstrated signs of catheter fracture or disconnection adjacent to the pump. During revision surgery, the silicone layer surrounding the sutureless pump connector was shown to be curled up, revealing the cause of dysfunction. As far as we know, this form of malconnection has not been reported before. Therefore, surgeons must be aware of this complication and additional inspection of the silicone connector prior to definite connection is advised.
Medical subject headings
- Spinal Cord Injuries
- Fractures, Bone