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Revista de la Sociedad Española del Dolor
Print version ISSN 1134-8046
Abstract
PEREZ MELENDEZ, JE and HERNANDEZ SANTOS, JR. Intratecal baclophene for the treatment of pain and spasticity in stiff man syndrome: a case report. Rev. Soc. Esp. Dolor [online]. 2019, vol.26, n.6, pp.368-371. Epub Mar 30, 2020. ISSN 1134-8046. https://dx.doi.org/10.20986/resed.2019.3745/2019.
Objective:
To present the case of a 32-year-old female patient with a diagnosis of stiff person syndrome, with multiple treatments for pain and spasticity without response, with an intrathecal baclofen test with a positive response, so a definitive implantable device was placed for administration of intrathecal medication (baclofen), performed at the National Medical Center November 20 of the ISSSTE with an improvement of more than 80 % in terms of pain, decreased spasticity.
Methodology:
Presentation of clinical case, descriptive and observational study carried out in the National Medical Center November 20, of Mexico City, with follow-up of the patient and its evolution for a period of 12 months between 2017 and 2018.
Results:
After the trial with a single dose of intrathecal baclofen, the permanent device was placed for administration of intrathecal baclofen, in the last consultation with a dose of 300 micrograms a day, with an improvement of pain of more than 80 % and with improvement of 100 % in spasticity and overall improvement of the symptoms and with the reincorporation to his habitual life.
Conclusions:
The use of intrathecal baclofen should be considered an optimal and real alternative for the treatment of rigid person syndrome through intrathecal administration in Mexico.
Keywords : Stiff person syndrome; baclofen; intratecal; pain; spasticity.