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.
| Original language | English |
|---|---|
| Pages (from-to) | 335-340 |
| Number of pages | 6 |
| Journal | Annals of Rehabilitation Medicine |
| Volume | 43 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2019 Jun 1 |
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All Science Journal Classification (ASJC) codes
- Rehabilitation
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Outcomes of intrathecal baclofen therapy compared with deep brain stimulation in a patient with dystonic cerebral palsy : A case report. / Chae, Minji; Hong, Seungbeen; Jung, Na Young; Chang, Won Seok; Cho, Sung Rae.
In: Annals of Rehabilitation Medicine, Vol. 43, No. 3, 01.06.2019, p. 335-340.Research output: Contribution to journal › Article
TY - JOUR
T1 - Outcomes of intrathecal baclofen therapy compared with deep brain stimulation in a patient with dystonic cerebral palsy
T2 - A case report
AU - Chae, Minji
AU - Hong, Seungbeen
AU - Jung, Na Young
AU - Chang, Won Seok
AU - Cho, Sung Rae
PY - 2019/6/1
Y1 - 2019/6/1
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=85068331780&partnerID=8YFLogxK
U2 - 10.5535/arm.2019.43.3.335
DO - 10.5535/arm.2019.43.3.335
M3 - Article
AN - SCOPUS:85068331780
VL - 43
SP - 335
EP - 340
JO - Annals of Rehabilitation Medicine
JF - Annals of Rehabilitation Medicine
SN - 2234-0645
IS - 3
ER -