{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:00:02Z","timestamp":1777694402870,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intrathecal administration of baclofen by implanted pump reduces rigidity and muscle spasms. Its use specifically to control bladder spasms has not been reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report<\/jats:title>\n                    <jats:p>A tetraplegic patient developed severe, protracted, bladder spasms, abdominal muscles spasms, and high blood pressure after change of suprapubic catheter; nifedipine, diazepam, and paracetamol did not control spasms; bolus dose of baclofen intrathecally produced prompt relief via baclofen pump.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Severe, protracted bladder spasms, abdominal muscles spasms, and autonomic dysreflexia, induced by change of suprapubic catheter in a spinal cord injury patient, were treated successfully by a bolus dose and increased total daily dose of intrathecal baclofen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4137\/ccrep.s39117","type":"journal-article","created":{"date-parts":[[2017,10,12]],"date-time":"2017-10-12T12:14:24Z","timestamp":1507810464000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Severe, Protracted Spasm of Urinary Bladder and Autonomic Dysreflexia Caused by Changing the Suprapubic Catheter in a Cervical Spinal Cord Injury Patient: Treatment by a Bolus Dose and Increased Total Daily Dose of Intrathecal Baclofen"],"prefix":"10.4137","volume":"9","author":[{"given":"Subramanian","family":"Vaidyanathan","sequence":"first","affiliation":[{"name":"Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Southport, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tun","family":"Oo","sequence":"additional","affiliation":[{"name":"Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Southport, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bakul M.","family":"Soni","sequence":"additional","affiliation":[{"name":"Regional Spinal Injuries Centre, Southport and Formby District General Hospital, Southport, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter L.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Radiology, Southport and Formby District General Hospital, Southport, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gurpreet","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Urology, Southport and Formby District General Hospital, Southport, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,12,13]]},"reference":[{"key":"bibr1-CCRep.S39117","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)64781-5"},{"key":"bibr2-CCRep.S39117","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)64247-4"},{"key":"bibr3-CCRep.S39117","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)37048-9"},{"key":"bibr4-CCRep.S39117","doi-asserted-by":"publisher","DOI":"10.1016\/j.autneu.2008.12.003"},{"issue":"9","key":"bibr5-CCRep.S39117","first-page":"S169","volume":"6","author":"Mejia M.S.","year":"2014","journal-title":"PM&R."},{"key":"bibr6-CCRep.S39117","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-7091-9419-5_5"}],"container-title":["Clinical Medicine Insights: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4137\/CCRep.S39117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4137\/CCRep.S39117","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4137\/CCRep.S39117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:15:05Z","timestamp":1777454105000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4137\/CCRep.S39117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1]]},"references-count":6,"alternative-id":["10.4137\/CCRep.S39117"],"URL":"https:\/\/doi.org\/10.4137\/ccrep.s39117","relation":{},"ISSN":["1179-5476","1179-5476"],"issn-type":[{"value":"1179-5476","type":"print"},{"value":"1179-5476","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1]]},"article-number":"CCRep.S39117"}}