Coupled obturator neurotomies and lidocaine intrathecal infusion to treat bilateral adductor spasticity and drug-refractory pain: Case report

Journal of Neurosurgery

Volumn 113, Issue 3, 2010, Pages 528-531

  Carrillo Ruiz, José D ^a,b   Andrade, Pablo ^a,b   Godínez Cubillos, Nora ^a   Montes Castillo, María L ^a   Jiménez, Fiacro ^a,b   Velasco, Ana L ^a   Guillermo, Castro ^a   Velasco, Francisco ^a  

^a HOSPITAL GENERAL DE MÉXICO   (Mexico)

^b UNIVERSIDAD ANÁHUAC   (Mexico)

Author keywords

Cerebral palsy; Diplegia; Infusion pump; Neuropathic pain; Neurotomies; Spasticity

Indexed keywords

ANALGESIC AGENT; LIDOCAINE; LOCAL ANESTHETIC AGENT;

ADULT; ARTHRODESIS; ARTICLE; CASE REPORT; CEREBRAL PALSY; CONTINUOUS INFUSION; COUPLED OBTURATOR NEUROTOMY; ELECTROSTIMULATION THERAPY; FEMALE; FOLLOW UP; HIP PAIN; HUMAN; HYPERALGESIA; HYPOXIA; INFUSION PUMP; INGUINAL REGION; KNEE PAIN; MENTAL DEFICIENCY; MYOTOMY; NEUROSURGERY; PARESTHESIA; POSTOPERATIVE ANALGESIA; PRIORITY JOURNAL; SPASTICITY; VISUAL ANALOG SCALE; WHEELCHAIR; COMPLICATION; FETUS HYPOXIA; INTRASPINAL DRUG ADMINISTRATION; MUSCLE SPASTICITY; OBTURATOR NERVE; PAIN; PAIN MEASUREMENT; TREATMENT OUTCOME;

ADULT; ANESTHETICS, LOCAL; CEREBRAL PALSY; FEMALE; FETAL HYPOXIA; FOLLOW-UP STUDIES; HUMANS; INFUSION PUMPS, IMPLANTABLE; INJECTIONS, SPINAL; LIDOCAINE; MUSCLE SPASTICITY; NEUROSURGICAL PROCEDURES; OBTURATOR NERVE; PAIN; PAIN MEASUREMENT; TREATMENT OUTCOME;

EID: 77956931079     PISSN: 00223085     EISSN: 19330693     Source Type: Journal    
DOI: 10.3171/2009.11.JNS09607     Document Type: Article

References (21)

1. Albright AL, Turner M, Pattisapu JV: Best-practice surgical techniques for intrathecal baclofen therapy. J Neurosurg 104 (4 Suppl):233-239, 2006
2. Ashworth B: Preliminary trial of carisoprodol in multiple sclerosis. Practitioner 192:540-542, 1964
3. Boswell MV, Iacono RP, Guthkelch AN: Sites of action of subarachnoid lidocaine and tetracaine: observations with evoked potential monitoring during spinal cord stimulator implantation. Reg Anesth 17:37-42, 1992
4. Brennan PM, Whittle IR: Intrathecal baclofen therapy for neurological disorders: a sound knowledge base but many challenges remain. Br J Neurosurg 22:508-519, 2008
5. Christo PJ, Mazloomdoost D: Interventional pain treatments for cancer pain. Ann N Y Acad Sci 1138:299-328, 2008
6. Cummins TR: Setting up for the block: the mechanism underlying lidocaine's use-dependent inhibition of sodium channels. J Physiol 582:11, 2007 (Abstract)
7. Douglas AF, Weiner HL, Schwartz DR: Prolonged intrathecal baclofen withdrawal syndrome. Case report and discussion of current therapeutic management. J Neurosurg 102:1133-1136, 2005
8. Duhon BS, MacDonald JD: Infusion of intrathecal baclofen for acute withdrawal. Technical note. J Neurosurg 107:878-880, 2007
9. Hansen CR, Gooch JL, Such-Neibar T: Prolonged, severe intrathecal baclofen withdrawal syndrome: a case report. Arch Phys Med Rehabil 88:1468-1471, 2007
10. Iacono RP, Boswell MV, Neumann M: Deafferentation pain exacerbated by subarachnoid lidocaine and relieved by subarachnoid morphine. Case report. Reg Anesth 19:212-215, 1994
11. Johnson ME: Potential neurotoxicity of spinal anesthesia with lidocaine. Mayo Clin Proc 75:921-932, 2000
12. Patrick E, Ada L: The Tardieu Scale differentiates contracture from spasticity whereas the Ashworth Scale is confounded by it. Clin Rehabil 20:173-182, 2006
13. Piszczatowski S: Analysis of the stress and strain in hip joint of the children with adductors spasticity due to cerebral palsy. Acta Bioeng Biomech 10:51-56, 2008
14. Pollock JE: Neurotoxicity of intrathecal local anaesthetics and transient neurological symptoms. Best Pract Res Clin Anaesthesiol 17:471-484, 2003
15. Rice J, Russo R, Halbert J, Van Essen P, Haan E: Motor function in 5-year-old children with cerebral palsy in the South Australian population. Dev Med Child Neurol 51:551-556, 2009
16. Scholtes VA, Becher JG, Beelen A, Lankhorst GJ: Clinical assessment of spasticity in children with cerebral palsy: a critical review of available instruments. Dev Med Child Neurol 48:64-73, 2006
17. Sheets MF, Hanck DA: Outward stabilization of the S4 segments in domains III and IV enhances lidocaine block of sodium channels. J Physiol 582:317-334, 2007
18. Siegel IM, Miller JE, Ray RD: Subcutaneous lower limb tenotomy in the treatment of pseudohypertrophic muscular dystrophy. Description of technique and presentation of twenty-one cases. J Bone Joint Surg Am 50:1437-1443, 1968
19. Smith LJ, Shih A, Miletic G, Miletic V: Continual systemic infusion of lidocaine provides analgesia in an animal model of neuropathic pain. Pain 97:267-273, 2002 (Pubitemid 34607222)
20. Stoffel A: The treatment of spastic contractures. Am J Orthop Surg 10:611-644, 1912
21. Tardieu G, Shentoub S, Delarue R: [Research on a technic for measurement of spasticity.] Rev Neurol (Paris) 91:143-144, 1954 (Fr)