Table 1 Chronology of clinical events, dose of intrathecal baclofen, location of tip of catheter for delivery of baclofen and presence of bladder stones
Days | Clinical event | Dose of intrathecal baclofen Micro-grams/day | Location of catheter tip | Bladder stones |
|---|---|---|---|---|
Day 0 | Road traffic accident Spinal cord injury | - | - | - |
412 | Implantation of Medtronic Synchromed EL pump | 300 | T-10 | - |
487 | Intravenous urography | 530 | T-10 | Yes* |
500 | Back ache | 575 | - | - |
689 | X-ray of abdomen | 875 | The catheter has come out of the spinal canal. The catheter is coiled in the paraspinal space at L-4 level.* | Yes |
700 | Cystoscopy and electrohydraulic lithotripsy of vesical calculi | 875 | - | - |
738 | X-ray of abdomen | 1300 | The catheter has come out of the spinal canal. The catheter is coiled in the paraspinal space at L-4 level. | No |
759 | MRI and CT scan of lumbar spine | 1300 | No CSF collection in paravertebral soft tissue. The tip of catheter is coiled superficially within right longissimus lumborum muscle. | No |
763 | Exploration revealed the catheter lying under the sheath of paraspinal muscle. | 300 | A new catheter was passed into the subarachnoid space and the tip of catheter was located at T-8 level, which was confirmed by X-ray screening. | No |