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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Intrathecal baclofen pump exchange in multiple sclerosis. Factors affecting bacl...
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Vol. 68. Issue 3.
Pages 153-155 (March 2021)
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Vol. 68. Issue 3.
Pages 153-155 (March 2021)
Case report
Intrathecal baclofen pump exchange in multiple sclerosis. Factors affecting baclofen efficacy and dose adjustement. A case report
Recambio de bomba intratecal en esclerosis múltiple. Factores que interfieren en la eficacia y ajuste de dosis de baclofeno. A propósito de un caso
P. Lloreda Herradón
Corresponding author
patrihsvo@yahoo.es

Corresponding author.
, V. Blázquez Calvo, M. Miyagi Yonamine, E. Alonso Rodríguez
Hospital Severo Ochoa, Leganés, Madrid, Spain
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Abstract

Multiple sclerosis is a neurological disease that presents with various symptoms; in some cases it is progressive and highly disabling, requiring invasive techniques to treat pain and spasticity. The use of intrathecal baclofen infusions is an effective and safe alternative for patients with severe and refractory spasticity. The therapy can improve quality of life, but must be performed in a pain unit by medical staff trained in the technique, its indications, pharmacology, and the potential risks of both the implant and the drug. The treatment can be individualized and patients must be followed up periodically.

Keywords:
Spasticity
Multiple sclerosis
Baclofen
Intrathecal pump
Complications
Resumen

La esclerosis múltiple es una enfermedad neurológica con clínica variada, que en algunos casos es progresiva y muy invalidante, requiriendo tratamientos invasivos para el dolor y la espasticidad. El uso de perfusiones de baclofeno intratecal es una alternativa eficaz y segura para pacientes con espasticidad refractaria y severa, y logra mejorar la calidad de vida, pero es preciso disponer de una unidad del dolor con personal entrenado para poder realizar estas terapias invasivas y conocer las indicaciones, farmacología y posibles riesgos tanto del implante como del uso del baclofeno. Se tiene que individualizar el tratamiento y realizar seguimientos periódicos.

Palabras clave:
Espasticidad
Esclerosis múltiple
Baclofeno
Bomba intratecal
Complicaciones

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