Abstract | OBJECTIVE: Intrathecal baclofen (ITB) pump is a therapeutic option for persistent vegetative state and minimal conscious state patients that have associated spasticity. We investigated whether this treatment modality can affect their level of consciousness. METHOD: In this prospective, open label, observational study, we implanted ITB pumps for the treatment of spasticity in eight patients with disorders of consciousness ( vegetative state and minimally conscious state) and we followed them with the Coma Recovery Scale-Revised, the Eastern Cooperative Oncology Group (ECOG) performance scale, and the Modified Ashworth spasticity scale. Baclofen dose and complications also were noted. RESULTS: CONCLUSION: ITB might be associated with a significant improvement in the disorder of consciousness of two patients from a total of six that had a chronic ITB treatment.
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Authors | Konstantinos Margetis, Stefanos I Korfias, Stylianos Gatzonis, Nick Boutos, George Stranjalis, Efstathios Boviatsis, Damianos E Sakas |
Journal | Neuromodulation : journal of the International Neuromodulation Society
(Neuromodulation)
Vol. 17
Issue 7
Pg. 699-704: discussion 704
(Oct 2014)
ISSN: 1525-1403 [Electronic] United States |
PMID | 24350688
(Publication Type: Journal Article)
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Copyright | © 2013 International Neuromodulation Society. |
Chemical References |
- Muscle Relaxants, Central
- Baclofen
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Topics |
- Adult
- Baclofen
(administration & dosage)
- Consciousness Disorders
(drug therapy, etiology)
- Female
- Humans
- Infusion Pumps, Implantable
- Injections, Spinal
- Male
- Middle Aged
- Muscle Relaxants, Central
(administration & dosage)
- Muscle Spasticity
(complications)
- Observation
- Prospective Studies
- Spinal Cord
(drug effects, physiology)
- Young Adult
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