An efficient multidisciplinary approach in a pregnant patient with hereditary spastic paraparesis treated by intrathecal baclofen therapy: A case report
Year: 2021
Type: article
Study design: Case Report
Abstract: Literature regarding cases of pregnant patients with hereditary spastic paraparesis (Strumpell-Lorrain disease) and those treated by intrathecal baclofen therapy is sparse. There are currently no specific guidelines to manage pregnancy and delivery in these patients. A 42-year-old woman presented to our clinic with hereditary spastic paraparesis and was treated with intrathecal baclofen for spasticity. She conceived twice and delivered successfully by caesarean section under subarachnoid anaesthesia. The two pregnancies had favourable outcomes with no increase in spasticity and no problems encountered with the intrathecal device. In this report, we discuss the evolution of both pregnancies and the anaesthetic management for deliveries in the presence of an intrathecal catheter. Keywords: Caesarean section; case report; hereditary spastic paraparesis; intrathecal baclofen; pregnancy.
Authors: Anaesthesiology CHU UCL NAMUR Site Godinne, Yvoir, Belgium., Fostier M, Roland V, Gynaecology-Obstetric CHRN Sambre et Meuse, Namur, Belgium., Dereine T, Anaesthesiology, CHRN Sambre et Meuse, Namur, Belgium., Deltombe T, Physical and Medicine Rehabilitation, CHU UCL NAMUR Site Godinne, Yvoir, Belgium., Gustin T, Neurosurgery, CHU UCL NAMUR Site Godinne, Yvoir, Belgium.
Institution: CHU Dinant Godinne UCL Namur
Language: English
Subfield: Clinical Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W3205728526