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Intrathecal baclofen.

Intrathecal Baclofen Pump Insertion

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A pump is placed over the anterior part of abdomen and a catheter is inserted in the spinal cord. It is useful in the patient with diffuse spasticity or dystonia. The baclofen pump is most useful in helping to decrease spasticity in the lower extremities and trunk, but it can also reduce spasticity in the upper extremities and improve speech. Intrathecal baclofen can allow more local presynaptic inhibition of I-a sensory afferents and has fewer adverse effects than oral baclofen. The dose is adjusted as per requirement and monthly refills are required