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Outcomes of Intrathecal Baclofen Therapy Compared With Deep Brain Stimulation in a Patient With Dystonic Cerebral Palsy: A Case Report

Authors
 Minji Chae  ;  Seungbeen Hong  ;  Na Young Jung  ;  Won Seok Chang  ;  Sung-Rae Cho 
Citation
 Annals of Rehabilitation Medicine, Vol.43(3) : 335-340, 2019 
Journal Title
Annals of Rehabilitation Medicine
ISSN
 2234-0645 
Issue Date
2019
Abstract
Deep brain stimulation (DBS) in internal globus pallidus is considered to be a good option for controlling generalized dystonia in patients with this condition. In this relation, it is known that DBS has already been shown to have significant effects on primary dystonia, but is seen as controversial in secondary dystonia including cerebral palsy (CP). On the other hand, intrathecal baclofen (ITB) has been known to reduce spasticity and dystonia in patients who did not respond to oral medications or botulinum toxin treatment. Here, we report a patient with dystonic CP, who received the ITB pump implantation long after the DBS and who noted remarkable improvement in the 36-Item Short Form Health Survey, Dystonia Rating Scale, Modified Barthel Index, and visual analog scale scores for pain after an ITB pump implantation was used as compared with DBS. To our knowledge, the present case report is the first to demonstrate the effects of an ITB pump on reducing pain and dystonia and improving quality of life and satisfaction, compared with DBS in a patient with CP.
Files in This Item:
T201903908.pdf Download
DOI
10.5535/arm.2019.43.3.335
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Chang, Won Seok(장원석) ORCID logo https://orcid.org/0000-0003-3145-4016
Jung, Na Young(정나영)
Cho, Sung-Rae(조성래) ORCID logo https://orcid.org/0000-0003-1429-2684
Hong, Seungbeen(홍승빈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173098
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