title: Severe, Protracted Spasm of Urinary Bladder and Autonomic Dysreflexia Caused by Changing the Suprapubic Catheter in a Cervical Spinal Cord Injury Patient: Treatment by a Bolus Dose and Increased Total Daily Dose of Intrathecal Baclofen.
abstract: BACKGROUND
  Intrathecal administration of baclofen by implanted pump reduces rigidity and muscle spasms. Its use specifically to control bladder spasms has not been reported.
  
  
  METHODS
  A tetraplegic patient developed severe, protracted, bladder spasms, abdominal muscles spasms, and high blood pressure after change of suprapubic catheter; nifedipine, diazepam, and paracetamol did not control spasms; bolus dose of baclofen intrathecally produced prompt relief via baclofen pump.
  
  
  CONCLUSIONS
  Severe, protracted bladder spasms, abdominal muscles spasms, and autonomic dysreflexia, induced by change of suprapubic catheter in a spinal cord injury patient, were treated successfully by a bolus dose and increased total daily dose of intrathecal baclofen.
authors.affiliation: Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Southport, UK.
authors.forename: Subramanian
authors.initials: S
authors.lastname: Vaidyanathan
authors.affiliation: Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Southport, UK.
authors.forename: Tun
authors.initials: T
authors.lastname: Oo
authors.affiliation: Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Southport, UK.
authors.forename: Bakul M
authors.initials: BM
authors.lastname: Soni
authors.affiliation: Department of Radiology, Southport and Formby District General Hospital, Southport, UK.
authors.forename: Peter L
authors.initials: PL
authors.lastname: Hughes
authors.affiliation: Department of Urology, Southport and Formby District General Hospital, Southport, UK.
authors.forename: Gurpreet
authors.initials: G
authors.lastname: Singh
keywords: baclofen; neuropathic bladder; spinal cord injury; suprapubic cystostomy