• Clin Med Insights Case Rep · Jan 2016

    Case Reports

    Severe, Protracted Spasm of Urinary Bladder and Autonomic Dysreflexia Caused by Changing the Suprapubic Catheter in a Cervical Spinal Cord Injury Patient: Treatment by a Bolus Dose and Increased Total Daily Dose of Intrathecal Baclofen.

    • Subramanian Vaidyanathan, Tun Oo, Bakul M Soni, Peter L Hughes, and Gurpreet Singh.
    • Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Southport, UK.
    • Clin Med Insights Case Rep. 2016 Jan 1; 9: 119-121.

    BackgroundIntrathecal administration of baclofen by implanted pump reduces rigidity and muscle spasms. Its use specifically to control bladder spasms has not been reported.Case ReportA tetraplegic patient developed severe, protracted, bladder spasms, abdominal muscles spasms, and high blood pressure after change of suprapubic catheter; nifedipine, diazepam, and paracetamol did not control spasms; bolus dose of baclofen intrathecally produced prompt relief via baclofen pump.ConclusionSevere, protracted bladder spasms, abdominal muscles spasms, and autonomic dysreflexia, induced by change of suprapubic catheter in a spinal cord injury patient, were treated successfully by a bolus dose and increased total daily dose of intrathecal baclofen.

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