Who is involved in intrathecal baclofen pump therapy?
With the baclofen pump, your spine will have regulated access to baclofen doses. Spine Center. At the Spine Center, our expert team of physicians uses the latest innovative technologies to help you regain mobility and return to an active life. Learn more. (888) 321-DOCS.
How is baclofen administered in pre-operative trials?
3.Test dose of intrathecal baclofen at Johns Hopkins (to be scheduled by the neurosurgeon at Johns Hopkins’ Pediatric Neurosurgery Center). If we determine your child is a good candidate for baclofen pump placement, you’ll continue the process with the following steps: 4.Baclofen pump placement at Johns Hopkins (to be scheduled by the
What is a baclofen pump?
A Baclofen pump is a device that is implanted under the skin that delivers this medicine directly to the spinal cord to relax stiff muscles. At DUMC, the neurosurgeons have perfected a technique known as the Baclofen Pump Trial. It is sometimes difficult to determine just how the muscles will react to certain amounts of this medicine.
What is intrathecal baclofen therapy (ITB)?
Baclofen pump implantation is a surgical procedure performed to permanently implant a pump that delivers baclofen to the spinal fluid to treat severe to moderate-severe spasticity that is refractory to oral medications. It continuously delivers baclofen in small doses directly to the spinal fluid, increasing the therapeutic benefits, and ...
Who can fill a baclofen pump?
What is involved in the management of a baclofen pump? The pump needs to be refilled at regular intervals (usually every 1 to 6 months) by a trained healthcare professional who possesses the equipment needed.Jan 27, 2019
How often does a baclofen pump need to be replaced?
The pump will need to be refilled every one to six months, depending on baclofen dosage.
How long is baclofen pump surgery?
Surgery: What to Expect – Implanting the Baclofen Pump. Implantable pump surgery takes approximately 1 to 2 hours from start to finish, depending on individual surgical techniques. Your doctor will be able to answer any questions you may have about the specifics of your procedure.
What should I expect after baclofen pump?
Two incisions were made when your baclofen pump was placed-—one on your abdomen and one at the middle of your back. You might have some discomfort or be tender at these areas for a few days. You should wear an abdominal binder full-time for at least 12 weeks after surgery.
Is baclofen pump permanent?
Baclofen pump implantation is a surgical procedure performed to permanently implant a pump that delivers baclofen to the spinal fluid to treat severe to moderate-severe spasticity that is refractory to oral medications.
What is the generic name for baclofen?
Lioresal, Gablofen (baclofen) dosing, indications, interactions, adverse effects, and more.
How long is recovery from pain pump surgery?
Recovery from Pain Pump Surgery Complete recovery from the procedure is usually around six weeks. The amount of time between surgery and noticeable pain relief may vary-- while some patients take time to feel the difference, others experience a reduction in pain almost instantly.
Is a baclofen pump intrathecal?
Intrathecal baclofen acts on the central nervous system (CNS) to produce its muscle relaxant effects. Its actions on the CNS may also cause some of the medicine's side effects. This medicine is delivered by a drug pump directly into the spinal fluid of your back.Mar 1, 2022
What does baclofen do to the brain?
Baclofen is a chlorophenyl derivative of gamma-aminobutyric acid (GABA), a naturally occurring inhibitory neurotransmitter in the brain and spinal cord. It is of proven therapeutic value in reducing the severity of flexor or extensor spasms resulting from spinal cord injury or disease.
Are there withdrawal symptoms from baclofen?
Withdrawal from baclofen can have clinical manifestations that include agitation, insomnia, confusion, delusions, hallucinations, seizures, visual changes, psychosis, dyskinesia, hyperthermia, and increased spasticity.Mar 14, 2016
Are baclofen pump MRI safe?
The SynchroMed II infusion system allows safe full-body access to 1.5 and 3.0-Tesla MRI. The pump is designed to resume programmed therapy after the scan.
What is a baclofen pump?
A Baclofen pump is a device that is implanted under the skin that delivers this medicine directly to the spinal cord to relax stiff muscles. At DUMC, the neurosurgeons have perfected a technique known as the Baclofen Pump Trial.
Why can't my child move?
Children with a form of Cerebral Palsy (CP) may have difficulty moving their bodies the way they want to due to problems with the way their nerves “talk” to their muscles. Spasticity and increased muscle tone are common side effects of CP and are characterized by a stiffening of the muscles especially, if the child is trying to do something quick, ...
What is it?
Baclofen pump implantation is a surgical procedure performed to permanently implant a pump that delivers baclofen to the spinal fluid to treat severe to moderate-severe spasticity that is refractory to oral medications.
What is its goal?
The aim of the operation is to decrease spasticity related to multiple sclerosis, spinal cord injuries, or other neurological diseases.
How is it done?
During a pre-operative trial, baclofen is injected into the spinal canal (using a small needle) and you are assessed by the treatment team over several hours to determine how well the medicine treats the spasticity. If a positive effect is observed then you may be a candidate for implantation of a permanent pump to delver the drug.
What are the risks?
There are always risks with any surgery. Potential complications may include:
What is the success rate?
The success rate of baclofen pump implantation for delivery of baclofen to the spinal fluid is generally favorable. Patients tend to have had a good response from pre-operative trials of intrathecal (delivery to the spinal fluid) baclofen and this is the permanent implantation phase.
How long will I stay in the hospital?
After the surgery, patients are in the hospital for a few days. Each individual patient's return to normal activity is largely dependent on his/her pre-operative condition and age. Typically you will be able to go home once your vital signs are stable and you are back to baseline functioning.
What is the ITB treatment?
A: Intrathecal Baclofen Therapy (ITB) is a treatment using Lioresal ® Intrathecal (baclofen) that is delivered into the fluid around your spinal cord (intrathecal) to help manage severe spasticity. For long term treatment, the drug is placed into a pump that is surgically placed under the skin of your abdomen.
Why does my pump stop working?
The pump could stop because the battery has run out or because of a problem with one or more of its inner parts. Errors in locating the pump during the refill procedure can result in symptoms of overdose that may be serious or life-threatening.
How do you know if you have overdosed on meds?
A: Signs of receiving too much medication (overdose) can appear suddenly or gradually over a few days. Signs may include muscles being too loose, drowsiness, lightheadedness, dizziness, sleepiness, slowed or shallow breathing, lower than normal body temperature, seizures, loss of consciousness, and coma.
What should a patient and caregiver receive?
A: All patients and caregivers should receive information on the risks of the treatment. Your doctor should give you information of the signs and symptoms of receiving too much or too little medication (overdose or withdrawal) and what to do if you notice those symptoms.
Can you use Lioresal Intrathecal?
A: If you are hypersensitive to baclofen, you should not use Lioresal ® Intrathecal. If you have an active infection, you should not have a screening test or implant until the infection has resolved. You should not receive ITB Therapy SM if you have a body size that is too small to hold the implantable pump.
What are the complications of implant surgery?
Some complications that you may experience with the implant surgery include infection, meningitis (infection of the lining of the brain and central nervous system), spinal fluid leak, paralysis, headache, swelling, bleeding, and bruising.
Can you overdose on Lioresal?
As with most medications, you can experience overdose (drug dose is too high) or withdrawal (drug dose is too low). Your doctor will discuss the possible effects of Lioresal ® Intrathecal and what to do if you experience any of the symptoms or side effects.
What happens if you have an ITB pump?
If you have an ITB pump, or if you are a caregiver for someone who does, you can find comfort and encouragement from our stroke, spinal cord injury or brain injury.
What is the ITB pump?
The Intrathecal Baclofen (ITB) Pump Program at Penn State Health works to reduce spasticity and improve overall quality of life for those dealing with severe spasticity. Our Physical Medicine and Rehabilitation experts offer comprehensive inpatient and outpatient care for children and adults.
What doctor will see you after a lumbar puncture?
The anesthesiologist will see you after the physiotherapy test to talk about the lumbar puncture procedure and go over any problems that could happen. The anesthesiologist will also ask your permission to have the procedure.
What time does an anesthesiologist appointment start?
The appointment begins at 7:45 am. We know early morning appointments are sometimes dicult but please do your best to reschedule or organize morning activities so that you are not late for the anesthesiologist.
Do I need an OHIP card for neurosurgery?
You will need to bring your health card (OHIP) to the Neurosurgery clinic. If you do not have an OHIP card, please bring another form of government-issued photo ID (such as a driver’s license, passport, or other provincial health card).
Advanced spasticity management
At the UH Multiple Sclerosis and Neuroimmunology Program, we provide detailed evaluation for spasticity of any cause and develop a tailored plan for every patient according to their needs and limitations. We provide guided and targeted botulinum toxin injections for treating symptoms confined to a specific part of the body.
Outpatient infusion Centers
We have partnered with several outpatient infusion centers within the UH health system to provide infusion therapy for high dose steroids and disease modifying therapies (DMT) across Northeast Ohio.
Neuromodulation
In addition to baclofen pump, our team is experienced in evaluating MS patients for other applications of novel neuromodulation technologies aimed at improving functional status.
Focus on symptoms
In addition to providing the latest in immune therapy for MS and other neuroimmunological conditions, we also focus on restoring function and managing symptoms, such as psychiatric problems, fatigue, chronic pain, walking impairment and bladder dysfunction.
Research
Our team is involved in several research projects in MS and other neuroimmunological disorders including observational studies, clinical trials, immunological studies, neurophysiological studies, and neuro-rehab research, among others.
MS Wellness Clinic
Our MS Wellness Clinic takes a holistic approach to the disease focusing on healthy physical and emotional lifestyles. Our providers work actively with patients towards healthy dieting, regular exercise, smoking cessation, and emotional well-being.