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CP – intrathecal baclofen — RACP Paediatrics MCQ

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ModerateNeurologyCP – intrathecal baclofenRACP Paediatrics

A 3-year-old with spastic quadriplegic CP (GMFCS V) has severe generalised spasticity causing pain. Oral baclofen at max dose is insufficient. What is the next step?

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Correct answer: B — Intrathecal baclofen pump

ITB pump for severe generalised spasticity when oral antispasmodics fail (especially GMFCS IV-V). Trial intrathecal dose before implantation.

Reference: RCH Melbourne – 2023 – CP CPG