Dysesthesia perceived as painful spasticity: A report of 3 cases

• Published in: Archives of physical medicine and rehabilitation Vol. 82; no. 5; pp. 697 - 699
• Main Authors: Ordia, Joe I., Fischer, Edward, Adamski, Ellen, Spatz, Edward L.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-05-2001
• Subjects: Aged; Aged, 80 and over; Baclofen; Baclofen - administration & dosage; Case report; Female; Humans; Injections, Spinal; Male; Middle Aged; Muscle Contraction - drug effects; Muscle Relaxants, Central - administration & dosage; Muscle spasticity; Muscle Spasticity - complications; Muscle Spasticity - drug therapy; Muscle Spasticity - physiopathology; Paresthesia; Paresthesia - drug therapy; Paresthesia - etiology; Paresthesia - physiopathology; Rehabilitation; Case report; Paresthesia; Rehabilitation; Muscle spasticity; Baclofen
• ISSN: 0003-9993; 1532-821X
• DOI: 10.1053/apmr.2001.20839

Ordia JI, Fischer E, Adamski E, Spatz EL. Dysesthesia perceived as painful spasticity: a report of 3 cases. Arch Phys Med Rehabil 2001;82:697-9. Lesions of the central nervous system often involve the pyramidal tracts and the sensory pathways to produce spasticity, paresthesias, and dysesthesia. Three patients with intractable spasticity were treated with intrathecal baclofen. Two had an implanted Medtronic SynchroMed pump for long-term delivery of the muscle relaxant. The third patient had undergone a screening trial in which the baclofen was delivered into the intrathecal space through a lumbar catheter. All had excellent relief of spasms on clinical examination, but they reported painful spasms particularly at night. Two of the patients were successfully treated for dysesthesia. © 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation