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Managing Baclofen Pump Infection with an Externalized Intrathecal Catheter: A Viable Bridging Option
Michael Suarez1, Jordan Erdfrocht1, David M Gallacher2
1Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD.
Pain Medicine Case Reports
|May 1, 2026
Summary
Externalizing an intrathecal catheter during pump infections offers a safe method to prevent baclofen withdrawal. This technique allows for successful reimplantation in high-risk patients, ensuring continued spasticity management.
Area of Science:
- Neurology
- Neurosurgery
- Pharmacology
Background:
- Intrathecal baclofen therapy effectively manages severe spasticity.
- Pump infections present a significant challenge, often requiring device removal and oral baclofen transition.
- Oral baclofen may be poorly tolerated in certain patient populations.
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