Intraventricular Baclofen via neuronavegated Ommaya reservoir as Bridge Therapy in Refractory Status Dystonicus: A Case Report
DOI:
https://doi.org/10.46900/apn.v7i3.318Keywords:
stauts dystonicus, intraventricular baclofen, ommayaAbstract
Introduction:
Status dystonicus (SD) is a life-threatening neurologic emergency that requires prompt recognition and intervention. Intraventricular baclofen (IVB) has been shown to be an alternative therapy with promising results in refractory cases.
Case Presentation:
We present a 12-year-old male with Wilson's disease and acquired generalized dystonia who developed status dystonicus after a gastrostomy procedure. Due to refractory, his dystonic symptoms despite of optimized intensive medical management, including intravenous sedation and invasive ventilatory assistance, we implemented intraventricular baclofen therapy via a temporary Ommaya reservoir. This allowed for rapid stabilization and resolution of the SD, prior to attempting to a more definitive surgical solution.
Conclusion:
Temporary Ommaya-based IVB is a feasible and cost-effective bridge therapy for SD management. It provides rapid symptomatic control and may enable strategic planning of definitive interventions, when applicable
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Copyright (c) 2025 Antônio Jorge Barbosa de Oliveira, Patricia Dumke da Silva Moller, Arthur de Melo Monteiro Bastos , Kesia Priscilla Omena Cardoso, Bruna Sousa Rodrigues, Rayane Gomes de Sousa
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