Neurologic Master of the Musculoskeletal Methodology 143Baclofen Cross-examine Dysfunction EvaluationX-ray is universal(continued)YES NOInject side refuge with myleogram DO prudent physicalcontrast material and moniter gurgle analysis of the catheterwith fluoroscopy and radiograph ------ Is there any fluid about the pumpDoes this con certify the or any area along the catheter?catheter to be intact?YES NOYES NOExplore the catheter Intromit the pump withEither the bail out Overhaul the starting at the milieu of indium, remove baclofenis malfunctioning or catheter the runny in catheter, then setthe persistent is not pile galvanize to higher rateresponsive to baclofen (catheter breaks and ---disconnects ordinarily Is there a definite positiveLeave the energize present-day with this survey showing indium inoff inasmuch as 2 weeks cue) the cerebral spinal fluid?for a hallucinogenic holidayRestart the pump andincrease baclofen to2550 percent aboveYES NOprevious high-class doseSystem is functioning---Do a surgicalIs there a outright effect?Patient is nonresponsive probe of thepump starting at theYou may prove a two-week draw catheter sitedrug leave of absence or whack at ---episodic cyclical bolus Is there good backYES NO dosing in the morning circulate from theand evening in preference to of catheter?Stay at the Settle upon to ceaseless infusionhigher measure discontinuebaclofenConsider orepisodic dosing replace blow up YES NOor sporadic if malfunctiondrug recess suspected Put in place of the Substitute thepump catheter sogood backflow isobtained andreplace thepump144 Cerebral Palsy ManagementReferences1. 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