Publications by authors named "E E Erlandson"

Purpose: The use of intrathecal medications for the management of spasticity and various pain syndromes in the adult population has been previously reported. However, no evidence-based guidelines currently exist in the pediatric population. This case series presents patients (n = 8) with pediatric-onset disability who underwent placement of intrathecal baclofen pumps initially for management of severe spasticity.

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Article Synopsis
  • Dr. Jay Neufeld's story talks about how he, a doctor, faced a lot of emotional pain while taking care of sick kids.
  • He shows how this pain affects not just doctors but also the patients and their families.
  • The story highlights three main problems that cause this pain: rules from health insurance, complicated medical records, and hospitals that care more about making money than helping people.
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In clinical practice, intrathecal baclofen (ITB) therapy is used to control spasticity. After initial placement of the ITB pump, clinicians incrementally increase the dose until effectiveness in alleviating spasms and spasticity is optimized. However, this case describes a 4-year-old male with Leigh syndrome who developed a paradoxical worsening of spasticity and pain with incremental increase of his ITB pump.

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