Table 1.
Patient characteristics | sMLD | dMLD | Spastic CP |
---|---|---|---|
Sex (n) | |||
Male | 4 | 4 | |
Female | 4 | 2 | 4 |
Clinical subtype (n) | |||
Late infantile | 0 | 0 | |
Early juvenile | 3 | 0 | |
Late juvenile | 5 | 2 | |
Adult | 0 | 0 | |
Type of predominant movement disorder (n) | |||
Spastic | 8 | 0 | 8 |
Dyskinetic | 0 | 2 | 0 |
Age at diagnosis | |||
Mean (range) | 8y (5–14y) | 8y (7–9y) | |
Age when wheelchair dependent | |||
Mean (range) | 9y (6–17y) | 8y 6mo (8–9y) | |
Age at pump implantation | |||
Mean (range) | 11y (6–24y) | 9y 6mo (9–10y) | 11y (5–26y) |
GMFC‐MLD/GMFCS levela (n) | |||
III | 1 | 0 | 0 |
IV | 2 | 0 | 3 |
V | 4 | 2 | 5 |
VI | 1 | 0 | |
Position of catheter tip (n) | |||
C4 | 0 | 2 | 0 |
Th4 | 5 | 0 | 3 |
Th10 | 3 | 0 | 5 |
Purpose of ITB (multiple goals possible) (n) | |||
Improve care | 7 | 0 | 8 |
Decrease pain | 1 | 2 | 2 |
Improve transfers | 1 | 0 | 0 |
Improve sitting position | 3 | 1 | 1 |
Prevent contractures | 0 | 0 | 1 |
Complications (n) | |||
Pump infectionb | 0 | 0 | 1 |
Catheter disconnectionc | 1 | 0 | 1 |
aScore at pump implantation. bAt 21 days: negative cultures, removal of the pump. Second implantation included in the study. cOne patient with sMLD at 20 days: revision of the catheter; one patient with spastic CP at 1mo: revision of the catheter. sMLD, metachromatic leukodystrophy with a predominant spastic movement disorder; dMLD, metachromatic leukodystrophy with a predominant dyskinetic movement disorder; CP, cerebral palsy; GMFC‐MLD, Gross Motor Function Classification in metachromatic leukodystrophy; GMFCS, Gross Motor Function Classification System; ITB, intrathecal baclofen.