Imaging evaluation of intrathecal baclofen pump-catheter systems

AJNR Am J Neuroradiol. 2011 Aug;32(7):1158-64. doi: 10.3174/ajnr.A2211. Epub 2010 Oct 28.

Abstract

ITB pumps are widely used in the treatment of intractable spasticity for many clinical indications, including cerebral palsy and spinal cord injury. High-dose intrathecal administration places the patient at significant risk for withdrawal in the event of device malfunction, necessitating rapid and complete evaluation of the pump-catheter system. This article reviews the approach to imaging evaluation of ITB pump-catheter systems, with specific emphasis on radiography, fluoroscopy, CT, and nuclear scintigraphy.

Publication types

  • Review

MeSH terms

  • Baclofen / administration & dosage*
  • Fluoroscopy / methods*
  • Humans
  • Infusion Pumps, Implantable / standards*
  • Injections, Spinal
  • Muscle Relaxants, Central / administration & dosage
  • Muscle Spasticity* / diagnostic imaging
  • Muscle Spasticity* / drug therapy
  • Radionuclide Imaging / methods*
  • Tomography, X-Ray Computed / methods

Substances

  • Muscle Relaxants, Central
  • Baclofen