Intracranial hypotension from intrathecal baclofen pump insertion. A case report and review of the literature.
Intracranial hypotension is a syndrome of low cerebrospinal fluid pressure with a variable clinical presentation ranging from postural headaches to coma. A number of neuroradiologic techniques are now available to aid in the diagnosis of this syndrome (CT, MRI, radioisotope cisternography and CT myelography), each showing specific radiographic abnormalities. In this report, we present a case of intracranial hypotension secondary to baclofen pump placement. We review the major clinical findings, neuroimaging abnormalities, key diagnostic features as well as treatment options.
Lad
Shivanand P
SP
Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA. nlad@stanford.edu
Li
Gordon
G
Lin
Shih-Chun
SC
Henderson
Jaimie M
JM
D001418:Baclofen / Q000008:administration & dosage* / Q000627:therapeutic use; D015170:Cerebrospinal Fluid Pressure / Q000502:physiology; D005260:Female; D006801:Humans; D015918:Infusion Pumps, Implantable / Q000009:adverse effects*; D019585:Intracranial Hypotension / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D008875:Middle Aged; D009125:Muscle Relaxants, Central / Q000008:administration & dosage* / Q000627:therapeutic use; D009128:Muscle Spasticity / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
D009125:Muscle Relaxants, Central; D001418:Baclofen