[Complete Remission of Consciousness Disturbances and Spasticity due to a Severe @entity510 after Intrathecal XXXX Therapy:A Case Report].

@entity1 @entity1276 @entity510 @entity548 @entity508 @entity439 @entity1662 @entity1772 @entity970
Typically, intrathecal @entity1772 therapy(ITB)for @entity508 is continuously required because the @entity508 can recur if the ITB is stopped. Thus, an infusion pump for the ITB is permanently implanted. Some sporadic cases exhibiting remarkable improvements in their @entity508 and @entity1662 have been reported after implanting the ITB pump. We experienced a rare case involving removal of the ITB pump after the @entity508 resolved and the @entity1662 markedly improved. A 15-year-old @entity1 developed a @entity510 due to rupture of an @entity439 in the right anterior cerebral artery. Her initial Glasgow Coma Scale score was 4(E1V1M2). Trapping of the @entity439 and decompression craniotomy were performed. Subsequently, she underwent a tracheotomy, and a percutaneous gastrostomy( @entity970 )tube was implanted because of persistent @entity1662 . Cranioplasty and lumbar-peritoneal shunt for normal pressure @entity1276 were performed after 1 month. An ITB pump was implanted to improve the @entity508 observed mainly in the lower extremities 61 days after @entity548 onset. Right hemiparesis remained due to Kernohan's notch. After transfer to the rehabilitation hospital, her @entity1662 and @entity508 remarkably improved(1.9 to 1.0 and 3.5 to 1.0 on the Ashworth scale for the upper and lower extremities, respectively). The tracheostomy and @entity970 tubes were removed, and the @entity1772 dose was gradually reduced. She was completely off @entity1772 after 7 months, and she was discharged with a short leg brace and a cane for walking. The @entity1772 pump was then removed. In this case, temporary ITB improved the @entity508 and @entity1662 .
