Albright A Leland
Department of Neurosurgery, University of Wisconsin Health Center, Madison, Wisconsin, USA.
J Neurosurg Pediatr. 2011 Oct;8(4):394-5. doi: 10.3171/2011.7.PEDS11211.
Intraventricular baclofen (IVB) infusion has been used recently to treat secondary dystonia. Techniques of catheter implantation have not been thoroughly described. The object of this study was to describe a technique developed in the past 6 years to implant intraventricular catheters for baclofen infusion. Thirty-one patients underwent endoscopic placement of intraventricular catheters for IVB, primarily patients whose anatomy made implantation of intrathecal catheters difficult or inappropriate. Using the technique described, catheters were successfully inserted into the desired ventricular location in each patient. Catheters remained in the desired location in 29 of 31 cases. Catheters can be inserted into the cerebral ventricles for infusion of baclofen. The technique described herein has been associated with few complications.
脑室内巴氯芬（IVB）输注近来已被用于治疗继发性肌张力障碍。导管植入技术尚未得到详尽描述。本研究的目的是描述在过去6年中开发的一种用于植入脑室内导管以进行巴氯芬输注的技术。31例患者接受了脑室内导管的内镜下放置以进行IVB治疗，主要是那些解剖结构使鞘内导管植入困难或不合适的患者。使用所描述的技术，导管成功插入每位患者所需的脑室位置。31例中有29例导管留在了所需位置。导管可插入脑室用于巴氯芬输注。本文所述技术并发症较少。
