• Neuromodulation · Mar 2011

    Case Reports

    Bilateral subdural hematoma following implantation of intrathecal drug delivery device.

    • Elsa Magro, Olivier Remy-Neris, Romuald Seizeur, Vincent Allano, Bertrand Quinio, and Phong Dam-Hieu.
    • Department of Neurosurgery, University Medical Center, Faculty of Medicine, University of Brest, Brest, France.
    • Neuromodulation. 2011 Mar 1;14(2):179-81; discussion 182.

    ObjectivesTo report a case of bilateral subacute subdural hematoma following implantation of intrathecal drug delivery device.Materials And MethodsWe present here the case of a 41-year-old woman with multiple sclerosis and intractable spasticity who developed a bilateral subacute subdural hematoma after the placement of an intrathecal catheter connected to a programmable pump for baclofen infusion.ResultsSurgical drainage of the hematoma resulted in full neurologic recovery. This complication due to intracranial hypotension following lumbar puncture has been previously reported only once in patients with implanted intrathecal drug delivery device.ConclusionsMedical and nursing staff dealing with intrathecal therapy should be aware of this potentially severe complication.© 2011 International Neuromodulation Society.

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