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Intrathecal Baclofen for the Treatment of Dystonia in Patients with Reflex Sympathetic Dystrophy
NEJM 343:625-630,654, van Hilten,B.J. et al, 2000
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Article Abstract
In six women, bolus injections of 50 and 75 ug of baclofen resulted in complete or partial resolution of focal dystonia of the hands but little improvement in dystonia of the legs. During continuous therapy, three women regained normal hand function, and two of these three women regained the ability to walk (one only indoors). In one woman who received continuous therapy, the pain and violent jerks disappeared and the dystonic posturing of the arm decreased. In two women the spasms or restlessness of the legs decreased, without any change in the dystonia. In some patients, the dystonia associated with reflex sympathetic dystrophy responds markedly to intrathecal baclofen.
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dystonia,treatment of
reflex sympathetic dystrophy
treatment of neurologic disorder

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