title: Intracranial hypotension from intrathecal baclofen pump insertion. A case report and review of the literature.
abstract: 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.
authors: Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA. nlad@stanford.edu
authors: Shivanand P
authors: SP
authors: Lad
authors: Gordon
authors: G
authors: Li
authors: Shih-Chun
authors: SC
authors: Lin
authors: Jaimie M
authors: JM
authors: Henderson
mesh_terms: 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
chemical_list: D009125:Muscle Relaxants, Central; D001418:Baclofen