Hyperbaric oxygen therapy: implications for spinal cord injury patients with intrathecal baclofen infusion pumps. Case report.
A patient with a cervical spinal cord injury receiving intrathecal baclofen for spasticity control underwent a 7 week course of hyperbaric oxygen therapy to induce healing of an ischial decubitus ulcer. After completion of this treatment and during a routine baclofen infusion pump refill, the actual pump reservoir volume exceeded computer measurements obtained with telemetry. Examination of the physiology of hyperbaric oxygen therapy in relation to infusion pump function revealed that the intraspinal pressures attained during hyperbaric oxygen therapy produced retrograde leakage of cerebrospinal fluid into the infusion pump reservoir.
Akman
M N
MN
Department of Physical Medicine and Rehabilitation, Inuonu University Medical School, Malatya, Turkey.
Loubser
P G
PG
Fife
C E
CE
Donovan
W H
WH
D000328:Adult; D001418:Baclofen / Q000008:administration & dosage* / Q000627:therapeutic use; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000009:adverse effects*; D007260:Infusion Pumps; D007278:Injections, Spinal; D008297:Male; D009128:Muscle Spasticity / Q000150:complications / Q000188:drug therapy; D003668:Pressure Ulcer / Q000150:complications / Q000628:therapy; D013119:Spinal Cord Injuries / Q000150:complications* / Q000628:therapy
D001418:Baclofen