Baclofen toxicity in a patient with baclofen pump
Pınar Gelener1
, Uğur Özkula2
1Department of Neurology, Kyrenia University Faculty of Medicine, Kyrenia, Cyprus
2Department of Emergency, Carnival Cruise Lines
Keywords: Baclofen pump, baclofen toxicity, coma.
Abstract
Baclofen toxicity is a severe condition that can suppress brainstem reflexes, leading to coma and death. Therefore, emergency evaluation, correct diagnosis, and treatment are crucial to prevent any possible neurological sequelae. Here, we present a case of a patient with a previous baclofen pump, who was brought to the Emergency Department after being found unresponsive in bed. Brainstem reflexes were absent. The patient was taken to the emergency surgery room, and with the diagnosis of baclofen toxicity, the reservoir was removed from the pump, and cerebrospinal fluid drainage was initiated. The patient was discharged with a baseline neurological examination the following day without any complications.