Neurológia pre prax 4/2011

Intrathecal baclofen in the treatment of spasticity and dystonia in patients with cerebral palsy

The goal of this article is to inform readers about the treatment options for severe spasticity and dystonia in children with cerebral palsy by intrathecal baclofen (ITB). Cerebral palsy plays serious role in life of spastic child and his/her family. ITB is in position of trusted method, which improves quality of life of spastic child with or without dystonia and so quality of life of his/her parents. Reduction of spasticity leads to marked reduction of pain. This article presents basic indication criteria for ITB as well as basic information about baclofen test, implantation method, refill procedure and summarizes complications of ITB therapy.

Keywords: spasticity, dystonia, cerebral palsy, baclofen pump, continuous intrathecal baklofen.