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Increased Spasticity And Beeping Baclofen Pump


Consult Page

18Y M presents with baclofen pump beeping

Initial Imaging

Fig. 65.1, XR abdomen anteroposterior view demonstrates (A) normal baclofen pump position one year prior and (B) rotation of the baclofen pump at present. Note the directionality of the catheter access port (arrow), indicating that the baclofen pump has flipped, preventing access to the reservoir port (asterisk).

Walking Thoughts

  • ■

    What are the patient’s vital signs?

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    Is he hemodynamically stable?

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    What is the patient’s neurological exam?

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    Why does the patient have a baclofen pump?

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    How long has his pump been beeping? When was it last refilled or interrogated?

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    Has he had prior issues with his baclofen pump?

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    Does he have any symptoms of baclofen withdrawal? If so, how long has he been symptomatic? Has he taken any medication for his symptoms?

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    What additional imaging studies (e.g. X-rays, CT) need to be ordered?

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