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(A) Sagittal view depicting fluoroscopy-guided intrathecal baclofen trial at the L3-L4 interspace. (B) Anterior-posterior view depicting fluoroscopy-guided intrathecal baclofen trial at the L3-L4 interspace. These are fluoroscopy derived radiographs (X-Rays) of anterior-posterior and lateral views of the patient's lumbar spine, demonstrating appropriate placement of the spinal needle at the L3-L4 interspace during the patient's initial intrathecal baclofen trial.
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She underwent a trial of a single bolus of 50 mug baclofen via a lumbar puncture at the L3-L4 interspace (Fig. 1A and Fig. 1B), resulting in a significant decrease in spontaneous spasms, which lasted for hours.