Hyperbaric oxygen therapy: implications for spinal cord injury patients with intrathecal baclofen infusion pumps. Case report

A patient with a cervical spinal cord injury receiving intrathecal baclofen for spasticity control underwent a 7 week course of hyperbaric oxygen therapy to induce healing of an ischial decubitus ulcer. After completion of this treatment and during a routine baclofen infusion pump refill, the actual...

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Bibliographic Details
Published inParaplegia Vol. 32; no. 4; p. 281
Main Authors Akman, M N, Loubser, P G, Fife, C E, Donovan, W H
Format Journal Article
LanguageEnglish
Published England 01.04.1994
Subjects
Adult
Baclofen - administration & dosage
Baclofen - therapeutic use
Humans
Hyperbaric Oxygenation - adverse effects
Infusion Pumps
Injections, Spinal
Male
Muscle Spasticity - complications
Muscle Spasticity - drug therapy
Pressure Ulcer - complications
Pressure Ulcer - therapy
Spinal Cord Injuries - complications
Spinal Cord Injuries - therapy
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Summary:A patient with a cervical spinal cord injury receiving intrathecal baclofen for spasticity control underwent a 7 week course of hyperbaric oxygen therapy to induce healing of an ischial decubitus ulcer. After completion of this treatment and during a routine baclofen infusion pump refill, the actual pump reservoir volume exceeded computer measurements obtained with telemetry. Examination of the physiology of hyperbaric oxygen therapy in relation to infusion pump function revealed that the intraspinal pressures attained during hyperbaric oxygen therapy produced retrograde leakage of cerebrospinal fluid into the infusion pump reservoir.
ISSN:0031-1758
DOI:10.1038/sc.1994.49