Turkish Journal of Physical Medicine and Rehabilitation 2002 , Vol 48 , Num 5
Multipl Skleroza Bağlı Spastisitenin Tedavisinde İntratekal Baklofen Kullanımı: Bir Olgu Nedeni İle-Olgu Sunumu
Şansın Tüzün 1 ,Ahmet Dinç 1 ,Ferit Pekel 2 ,Murat Hancı 3 ,Ayşe Altıntaş 4 ,Aksel Siva 4
1 İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul
2 İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Ağrı Anabilim Dalı, İstanbul
3 Istanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Beyin Sinir Cerrahisi Anabilim Dalı, Istanbul, Türkiye
4 İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Nöroloji Anabilim Dalı, İstanbul

Although there are so many therapeutic approaches in the management of spasticity resulting from upper motor neuron diseases, severe spasticity is an ongoing problem for both patients and rehabilitation strategies. We present a case wih multipl sclerosis whose spasticity was severe with an Ashworth score of 5. Oral baclofen treatment had failed in this case and Neurology, Anesthesiology, Physical Therapy and Neurosurgery disciplines decided to perform intrathecal baclofen infusion. We discussed the efficacy of intrathecal baclofen infusion for spasticity resulting from multipl sclerosis.

Keywords : Multipl sclerosis, intrathecal baclofen infusion, spasticity