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Intrathecal baclofen pump implantation for complex regional pain syndrome in a patient with a spinal cord stimulator: consideration about optimal location of intrathecal catheter tip - A case report -
Anesth Pain Med 2018;13(2):201-6
Published online April 30, 2018
© 2018 The Korean Society of Anesthesiologists.

Myoung Jin Ko1, Hyun-seong Lee1, Hyunji Jo1, Seong Rok Kim2, Sangyoon Jeon3, and Sang Eun Lee1
Department of Anesthesiology and Pain Medicine, 1Inje University Haeundae Paik Hospital, Busan, 2The Keon Sarang Medical Office, Geoje, 3Dong Kang Hospital, Ulsan, Korea
Correspondence to: Sang Eun Lee, M.D.
Department of Anesthesiology and Pain Medicine, Inje University Haeundae Paik Hospital, 875 Haeun-daero, Haeundae-gu, Busan 48108, Korea
Tel: 82-51-797-0425
Fax: 82-51-797-0499
E-mail: anelse@naver.com
ORCID
http://orcid.org/0000-0002-9029-4991
Received September 20, 2017; Revised October 30, 2017; Accepted October 30, 2017.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Intrathecal baclofen (ITB) pump implantation can be used to control dystonia and severe pain associated with complex regional pain syndrome (CRPS) with or without a spinal cord stimulator (SCS). A 45-year-old female patient had gotten an SCS to control the pain of CRPS. However, she suffered from chronic intractable pain in her left ankle and foot despite paresthesia in the entire painful area because the effectiveness of the SCS gradually diminished over time. In a trial of intrathecal drug administration, baclofen was superior to morphine for pain relief, had fewer side effects, and was superior in terms of patient satisfaction. To achieve the greatest degree of pain relief from the ITB pump, the tip of the intrathecal catheter was carefully placed in relation to the SCS. Over a one-year follow-up period, the patient experienced mild pain without any adverse effects.
Key Words : Baclofen, Complex regional pain syndrome, Intrathecal pump, Spinal cord stimulation.


April 2018, 13 (2)
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