Improvement after switching from morphine to baclofen in patients with spinal cord injury implanted with intrathecal drug pump : A case report
척수강내약물주입펌프 이식술을 시행받은 척수 손상환자에서 주입약제 전환 후 호전된 증례보고 - 척수강내 바클로펜 투여
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원문정보
초록
영어
The mechanisms of pain in spinal cord injury are very diverse, including peripheral and central neuropathy, muscle spasticity or spasm, secondary musculoskeletal pain due to overuse or atrophy, chronic central sensitization, and visceral pain. More effective treatment is possible if you carefully listen to the patient's medical history and pain pattern. We introduce a 54-year-old male patient who became paraplegic due to spinal cord injury 13 years ago and has been receiving morphine through an intrathecal drug delivery pump since 7 years ago. He mainly complained of severe breakthrough pain accompanied by flexor spasm, which improved significantly after changing administration from morphine to baclofen. Baclofen is FDAapproved for not only spasticity but also for flexor spasm and concomitant pain. Therefore, intrathecal administration of baclofen in patients with spinal cord injury may have a dramatic effect on pain.
목차
Abstract 증례보고 고찰 참고문헌
키워드
BaclofenMuscle SpasticitySpasmSpinal cord injury
저자
Seon Woo Yoo [ 유선우 | Department of Anesthesiology and Pain Medicine, Jeonbuk National University Medical School and Hospital, Jeonju, South Korea ]
Jieun Jang [ 장지은 | Department of Anesthesiology and Pain Medicine, Jeonbuk National University Medical School and Hospital, Jeonju, South Korea ]
Hyunji Oh [ 오현지 | Department of Anesthesiology and Pain Medicine, Jeonbuk National University Medical School and Hospital, Jeonju, South Korea ]
Aram Doo [ 두아람 | Department of Anesthesiology and Pain Medicine, Jeonbuk National University Medical School and Hospital, Jeonju, South Korea ]
Corresponding Author