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- Hidetaka Arishima and Ken-ichiro Kikuta.
- Department of Neurosurgery, University of Fukui, Fukui, Japan.
- Neuromodulation. 2015 Apr 1;18(3):214-6; discussion 216.
Background And ObjectiveIntrathecal baclofen (ITB) pump implantation for cerebral palsy (CP) patients is usually performed in the lateral position; however, it might be difficult for some patients with severe deformity to take a lateral position during surgery.MethodWe report a case of ITB pump implantation in the prone position for a CP patient who exhibited uncontrollable opisthotonus with severe scoliosis.ResultITB therapy effectively controlled her opisthotonus.ConclusionOur findings suggest that ITB therapy may be useful for CP patients with uncontrollable spasticity, dystonia, or opisthotonus who are not able to take a lateral position for pump implantation due to deformities of their extremities and spine.© 2014 International Neuromodulation Society.
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