title: Baclofen withdrawal presenting as irritability in a developmentally delayed child.
abstract: Irritability in children has a broad differential diagnosis, ranging from benign processes to life-threatening emergencies. In children with comorbid conditions and developmental delay, the diagnostic process becomes more challenging. This case report describes a developmentally delayed 14-year-old boy who presented with pain and crying caused by a malfunction of a surgically implanted baclofen pump. We describe recommendations concerning the diagnostic evaluation, medical management, and surgical repair.
authors.affiliation: Pediatric Emergency Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, New York.
authors.forename: C Anthoney
authors.initials: CA
authors.lastname: Lim
authors.forename: Sandra J
authors.initials: SJ
authors.lastname: Cunningham