Acquired Chiari I malformation following baclofen pump placement in a child. Case report.

Academic Article

Abstract

  • The authors present a case of a child suffering from shunt-treated hydrocephalus and spastic quadriplegia who underwent surgery for placement of a baclofen pump. Magnetic resonance (MR) imaging performed prior to pump placement demonstrated no hindbrain herniation. Afterward, however, the patient exhibited symptoms of brainstem compression, and MR imaging revealed a significant Chiari I malformation along with a fully functioning ventriculoperitoneal shunt. Posterior fossa decompression was performed, and the patient's symptoms abated. The authors believe this to be the first report of an acquired Chiari I malformation in a patient with a baclofen pump. Clinicians should consider Chiari I malformation as a rare but severe complication of baclofen pump placement.
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    Published In

    Keywords

  • Adolescent, Arnold-Chiari Malformation, Baclofen, Decompression, Surgical, Humans, Hydrocephalus, Infusion Pumps, Implantable, Infusions, Parenteral, Magnetic Resonance Imaging, Male, Muscle Relaxants, Central, Neurosurgical Procedures, Quadriplegia, Spinal Canal, Treatment Outcome, Ventriculoperitoneal Shunt
  • Digital Object Identifier (doi)

    Author List

  • Tubbs RS; Law C; Oakes WJ; Grabb PA
  • Start Page

  • 211
  • End Page

  • 213
  • Volume

  • 101
  • Issue

  • 2 Suppl