의사와 환자가 환자의 상태에 대해 논의합니다

뇌졸중과 경직

중증 경직

일정 수준의 경직을 경험한 많은 뇌졸중 생존자에 속한다면 치료가 가능하다는 것을 아는 것이 중요합니다.

경직이 일어나는 이유

뇌졸중은 혈관 내 혈전 또는 혈관 파괴로 인해 뇌로 이동하는 혈류가 차단되어 발생합니다. 해당 영역의 뇌 세포가 죽으면 말하기, 운동 또는 기억에 영향을 줄 수 있습니다.

이러한 뇌의 변화는 뇌와 근육 사이의 메시지 흐름을 방해하여 경미하거나 증증 경직, 근육 긴장과 뻣뻣함으로 이어질 수 있습니다.

뇌졸중 생존자의 대부분은 경미한 증상에서 심각한 증상까지 어느 정도의 근육 긴장과 뻣뻣해 지는 증상을 앓고 있습니다.1


치료법 찾기

경직은 치료할 수 있고 치료해야 합니다. 적절한 치료를 통해 직장과 학교, 일상적인 활동은 물론 간병도 훨씬 쉬워질 수 있습니다. 이를 통해 더 많은 위안과 통제력을 얻음으로써, 앞으로의 가능성에 대해서도 다시 생각해 볼 수 있을 것입니다.

대부분의 사람들은 경구 약물, 물리치료 및 작업 치료 또는 주사요법으로 경직을 충분히 조절할 수 있지만, 일부의 경우 이러한 치료가 효과가 없거나 견딜 수 없는 부작용이 나타나기도 합니다. 경직 전문의와 상의하여 다른 방법에 대해서도 알아보고 자신에게 적합한 치료법을 찾으십시오.


참고자료

1

Watkins CL, Leathley MJ, Gregson JM, et al. Prevalence of spasticity poststroke.Clin Rehab. 2002;16(5):515-595.


The Medtronic baclofen pump is part of the Synchromed® Infusion System, which delivers the drug called Lioresal® Intrathecal (baclofen injection) for ITB TherapySM, a treatment for severe spasticity. Please read the following important safety information about ITB Therapy.

IMPORTANT SAFETY INFORMATION FOR ITB THERAPY (Intrathecal Baclofen Therapy)

Please follow your doctor's instruction closely because a sudden stop of intrathecal baclofen therapy can result in serious baclofen withdrawal symptoms such as high fever, changed mental status, muscle stiffness, and in rare cases may result in loss of function of many vital organs and death. It is very important that your doctor be called right away if you experience any of the above symptoms.

It is important for you to keep your scheduled refill visits so you don't run out of medication (baclofen) and to know the early symptoms of baclofen withdrawal. Some patients are at more risk than others for baclofen withdrawal; speak with your doctor about this.

People who suffer from severe spasticity resulting from cerebral palsy, multiple sclerosis, stroke, brain injury, or spinal cord injury may be candidates for ITB Therapy. If you have spasticity due to spinal cord injury or multiple sclerosis, you may be considered for ITB Therapy if oral baclofen has not controlled your spasticity or has resulted in serious side effects that you cannot accept. If you suffered a brain injury due to trauma you must wait until one year after the injury to be considered for ITB Therapy. A trial of ITB Therapy will help to show if ITB Therapy can help you. You should not receive ITB Therapy if you have an infection, are allergic to baclofen, or your body size is too small for the implantable pump.

The implanted pump and catheter (tube that delivers the drug from the pump to the fluid around the spinal cord) are placed under the skin during a surgery. Some complications that you may experience with the surgery include infection, meningitis (infection of the lining of the brain and central nervous system), spinal fluid leak, paralysis, headache, swelling, bleeding, and bruising.

The most common and/or serious drug-related side effects of ITB Therapy include loose muscles, sleepiness, upset stomach, vomiting, headaches, and dizziness. Failure of the pump placed under your skin may cause symptoms due to overdose (receiving too much) or underdose (receiving too little) of intrathecal baclofen. The signs and symptoms of overdose include drowsiness, lightheadedness, dizziness, respiratory depression (difficulty breathing), hypothermia (lower than normal body temperature), seizures, loss of consciousness, and coma. Once the infusion system (the pump and the catheter) is implanted, possible complications include unintended movement of the catheter or pump within the body or breakdown of the skin over the pump. The catheter could leak, tear, kink, or become disconnected from the pump, resulting in underdose or no baclofen infusion. Symptoms of underdose include an increase or return in spasticity, itching, low blood pressure, lightheadedness, and tingling sensation. These symptoms are often early signs of baclofen withdrawal. The pump could stop because the battery has run out or because of a problem with one or more of its inner parts. The pump will sound an alarm when the pump needs to be filled with baclofen, replaced, or if there is a problem with the pump. You or your caregiver should always inform any healthcare personnel that you have an implanted infusion system before any medical or diagnostic procedure such as MRI or diathermy.

For more information, please read the Lioresal® Intrathecal (baclofen injection) Full Prescribing Information and the SynchroMed Infusion System Information.

This therapy is not for everyone. Please contact your doctor. A prescription is required.

Lioresal® is a registered trademark of Medtronic, Inc.

USA Rx Only Rev 0913

You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit http://www.fda.gov/medwatch, or call 1-800-FDA-1088.


Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.