Cyclic Hypertonia and Hypotonia Associated with Intrathecal Baclofen Pumps: Findings and Treatments
Adjusting pump rates and adding enteric baclofen may help some patients with cyclic hypertonia/hypotonia. If a leak at the pump-connector catheter segment is identified, segment replacement should be considered. When partial revisions fail, complete catheter replacement appears more effective, especially as a second surgery. Cyclic hypertonia/hypotonia is a treatable complication of baclofen pumps.
Authors
- Kaitlin E. Olson (ORCID: https://orcid.org/0000-0002-3222-7723)
- Swetha J. Sundar (ORCID: https://orcid.org/0009-0008-3905-1469)
- Scott LeBeau
- Megan V. Ryan (ORCID: https://orcid.org/0000-0001-6712-8701)
- Joyce Oleszek (ORCID: https://orcid.org/0000-0001-6924-2508)
- Kim R. Sawyer (ORCID: https://orcid.org/0000-0001-7049-9378)
- Sophia Blasco (ORCID: https://orcid.org/0009-0002-2289-5725)
- C. Corbett Wilkinson
Institutions
- Rocky Vista University (US)
- Children's Hospital Colorado (US)
- Helen DeVos Children's Hospital (US)
- University of Colorado Anschutz Medical Campus (US)
- University of Colorado Denver (US)
Publication Details
- Journal
- Pediatric Neurosurgery
- Published
- 2025-05-26
- DOI
- https://doi.org/10.1159/000546529
- Primary Topic
- Botulinum Toxin and Related Neurological Disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00