Intrathecal baclofen therapy in children with cerebral palsy

Intrathecal baclofen (ITB) is a well-recognised treatment option in the management of generalised spasticity and dystonia. Typically it is considered in children who have failed to respond to, or have not tolerated, appropriate enteral medications. Placement of a pump would be contraindicated in children who could not accommodate a pump due to size, or those who have a local or systemic infection. There are a number of relative contraindications which must be considered. An intrathecal baclofen test dose is usually advised and is particularly useful in screening for hypersensitivity.
Source: Paediatrics and Child Health - Category: Pediatrics Authors: Tags: Symposium: Cerebral palsy Source Type: research