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Baclofen pump intervention for spasticity affecting pulmonary function.

Deanna Britton¹, Barry Goldstein, Jill Jones-Redmond

¹Speech-Language Pathology Clinical Specialist, Harborview Medical Center, 325 Ninth Avenue, Box 359819, Seattle, WA 98104, USA. deanna@u.washington.edu

The Journal of Spinal Cord Medicine

|January 7, 2006

Summary

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Severe spasticity in spinal cord injury (SCI) patients can impair breathing. Intrathecal baclofen pump therapy rapidly improved ventilator weaning in a C4 tetraplegia case, suggesting potential benefits.

Area of Science:

Neurology
Pulmonology
Rehabilitation Medicine

Background:

Spinal cord injury (SCI) can lead to muscle spasticity, potentially impacting respiratory function.
Limited data exists on managing spasticity to improve pulmonary outcomes post-SCI.
This case highlights a patient with C4 tetraplegia, severe spasticity, and challenges with ventilator weaning.

Observation:

The patient presented with C4 tetraplegia and significant muscle spasticity.
Respiratory compromise was evident, complicating ventilator weaning.
An intrathecal baclofen pump was implanted to manage severe spasticity.

Findings:

Severe spasticity was identified as a likely contributor to the patient's respiratory compromise.
Following baclofen pump placement, the patient experienced rapid and successful weaning from ventilatory support within three weeks.

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Implications:

Intrathecal baclofen pump therapy may be a viable option for managing spasticity-related respiratory dysfunction in SCI.
Further randomized clinical trials are warranted to confirm the efficacy of baclofen pumps for earlier ventilator weaning in SCI patients with significant spasticity.