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Surgery Name | Cost | Room-Category | Hospitalization |
---|---|---|---|
Baclofen pump implantation Procedure cost in India | Evaluation for spasticity-$1500,Surgery-$6500 and Implant cost $7500 | Single | Patient - 5 days stay in a single room. |
Inclusion | Exclusion | ||
|
1.Overstay more than package days, |
Baclofen is one of the medications most commonly used to treat spasticity. Baclofen acts in the spinal cord, and improves hyperactive reflexes and excessive muscle tone. Some of the side effects of baclofen are:
Stopping baclofen suddenly may cause withdrawal symptoms that include seizures. You should avoid suddenly stopping this medication.
If you have severe spasticity, and oral medications are not helpful, your treating physician may refer you for a consultation to evaluate if ITB could be a good option for you. Detailed clinical assessments are performed, usually by a physician and physical/occupational therapists.
A test injection is then performed to further evaluate the appropriateness of ITB. The test consists of a spinal tap, with a small dose of baclofen injected into the spinal fluid. A few hours later, the effects of the medication are evaluated. These effects are temporary, but provide very useful information that help with the decision process. If the test is successful, you will be referred to a neurosurgeon that will implant the baclofen pump system.
The baclofen pump system consists of a pump and a catheter that brings the medication from the pump into the spinal fluid. The pump is a round metallic disc (about 1 inch thick and 3 inches in diameter), which is surgically implanted under the skin of the abdomen. The pump contains a battery, which usually lasts between 5 and 7 years, a reservoir for the medication, and a microprocessor. The pump can be programmed with a small computer which communicates with the pump via a wand placed over the skin. The catheter is a thin flexible tube implanted under the skin. One end of the catheter is connected to the pump, and the other end is inserted into the spine at various levels.
The pump needs to be refilled at regular intervals (usually every 1 to 6 months) by a trained healthcare professional who possesses the equipment needed. The pump is refilled by inserting a needle through the skin into a refill port on the pump. In some cases the refills can be done at home, but follow-up visits are needed one to two times per year to ensure that the therapy is working appropriately. The dose of baclofen can be adjusted at any time, but the adjustment must be done by a trained professional. When the battery approaches the end of its life, the pump needs to be replaced (but not the catheter). When a problem with the baclofen pump is suspected, medical attention should be sought as soon as possible.
Complications more specific to ITB include the risk of infection around the device, and the risk of device malfunction. Baclofen withdrawal (from abrupt interruption of the delivery of baclofen via the pump) and baclofen overdose (usually as a result of human error) have also occurred with ITB. Serious complications from ITB are infrequent, and in most cases reversible as long as they are diagnosed and treated in a timely fashion. Even without complications, ITB can cause increased weakness, because it is very potent.
After a dose adjustment, you will usually see the effects in 6 to 8 hours and the maximum effect in one or two days. As your dose of LioresalIntrathecal (baclofen) increases, your doctor may slowly reduce your oral spasticity medicine.
If they don't fall off, you may take them off two weeks after surgery. Your child may bathe, swim or submerge the incisions after two weeks if the incisions are healed. For a few days to weeks after surgery, your child may have some swelling around the top and sides of the pump. This is from fluid and it is normal.
The pump needs to be refilled at regular intervals (usually every 1 to 6 months) by a trained healthcare professional who possesses the equipment needed. The pump is refilled by inserting a needle through the skin into a refill port on the pump.
When it's taken, the drug activates GABA receptors in the brain. Since baclofen affects these receptors, it can calm neural activity that leads to muscle spasms. Baclofen is similar to phenibut, which affects the GABA receptors as well.
In general, it is recommended that you avoid alcoholic drinks while you are taking baclofen. Alcohol may increase the risk of side effects. Decreased alertness, dizziness, drowsiness, falls, or other side effects may occur.
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