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Baclofen pump
The document discusses spasticity and its treatments. It defines spasticity as increased resistance to passive movement caused by hyperactive stretch reflexes. Treatments mentioned include oral medications, intrathecal baclofen therapy using an implanted pump, selective dorsal rhizotomy neurosurgery, and orthopedic procedures. Intrathecal baclofen therapy involves testing patients by injecting baclofen and monitoring response, then implanting a pump if symptoms improve. Programming the pump involves setting dosage and mode of delivery. Complications are also summarized.
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Editor's Notes
- #30 Dorsal roots are separated from the ventral roots L2-S2 ventral roots are placed on a Silastic sheet
- #31 Nerves that have abnormal increased response are selectively sectioned Generally not more than 60% of rootlets at a given level
- #37 One more important thing is that an Arm flexor synergy: Shoulder flexion, adduction, internal rotation; elbow flexion; wrist flexion; finger flexion, is more common in the UE and a Leg extensor synergy: Hip, knee extension; ankle plantar flexion is more common in the LE.