Combined intrathecal baclofen pump revision to the cervical level and lumbosacral ventral-dorsal rhizotomy for severe medically refractory hypertonia: illustrative cases
The authors highlight favorable outcomes using multimodal surgery in pediatric patients. Multimodal therapy is surgically feasible and better addresses MRH, particularly in patients in whom ITB monotherapy and polypharmacy have failed. Future studies with larger patient volumes are necessary to optimize indications and make more definitive outcome conclusions. https://thejns.org/doi/10.3171/CASE24599.
Authors
- James M. Mossner (ORCID: https://orcid.org/0000-0001-7767-3906)
- Jeffrey S. Raskin (ORCID: https://orcid.org/0000-0002-1865-9888)
- Sunny Abdelmageed (ORCID: https://orcid.org/0009-0000-4711-9314)
- Benjamin Katholi (ORCID: https://orcid.org/0000-0002-9002-940X)
- Robin Trierweiler
- Mary Keen
- Gloria Bae (ORCID: https://orcid.org/0000-0001-5459-5845)
Institutions
- Northwestern University (US)
- Marianjoy Rehabilitation Hospital (US)
- National Audubon Society (US)
- Lurie Children's Hospital (US)
- Shirley Ryan AbilityLab (US)
- Rosalind Franklin University of Medicine and Science (US)
- Globus Medical (United States) (US)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2025-01-27
- DOI
- https://doi.org/10.3171/case24599
- Primary Topic
- Botulinum Toxin and Related Neurological Disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00