[date redacted] history of present illness: patient had generator replacement on [date redacted].For the past 4 months the pump is not working well.Despite conservative measures, patient continues to experience debilitating chronic spasticity.Dr has offered baclofen pump catheter and generator replacement.Patient is here today requesting to proceed with surgical intervention.Apparently, there is a recall for the pump generator also.Dye study to evaluate intrathecal catheter was unsuccessful and determined catheter was not patent.[date redacted].Preoperative diagnosis: failure of intrathecal baclofen pump.Postoperative diagnosis: failure of intrathecal baclofen pump.Procedures: removal of intrathecal baclofen pump.Replacement of intrathecal baclofen pump.Placement of intrathecal catheter, connecting of catheter, filling of pump with baclofen in reduction to half dose.[date redacted] surgical pathology.Gross description.The specimen is received for fresh submitted as "malfunctioning baclofen pump" and consists of a 7.5 x 7.5 x 2.5 cm pump.The specimen contains identification, medtronic synchromed ii 8637-40-(b)(4), medtronic incorporated, usa.
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