PDF(Pubmed)
Abstract：
This case report concerns a patient suffering from traumatic spinal cord injury with severe spasticity treated with intrathecal baclofen therapy. After revision surgery for a confirmed catheter obstruction, progressive spasticity reappeared. Diagnostics demonstrated signs of catheter fracture or disconnection adjacent to the pump. During revision surgery, the silicone layer surrounding the sutureless pump connector was shown to be curled up, revealing the cause of dysfunction. As far as we know, this form of malconnection has not been reported before. Therefore, surgeons must be aware of this complication and additional inspection of the silicone connector prior to definite connection is advised.
摘要：
此病例报告涉及鞘内注射巴氯芬治疗严重痉挛的创伤性脊髓损伤患者。经证实导管阻塞的翻修手术后，进行性痉挛再次出现。诊断显示泵附近有导管断裂或断开的迹象。在翻修手术期间，无缝线泵连接器周围的硅树脂层显示为卷曲，揭示功能障碍的原因。据我们所知,这种形式的连接不良以前没有报道过。因此,外科医生必须意识到这种并发症，并建议在明确连接之前对硅胶连接器进行额外检查。
