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Anesthesia and analgesia · Jul 2004
Case ReportsRespiratory distress after intrathecal baclofen withdrawal.
- Juan Santiago-Palma, E Daniela Hord, Ricardo Vallejo, Jason Trella, and Shihab U Ahmed.
- Massachusetts General Hospital Pain Center, Department of Anesthesia and Critical Care, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA. jsantiagopalma@hotmail.com
- Anesth. Analg. 2004 Jul 1; 99 (1): 227-9.
AbstractWe present the case of a 19-yr-old woman with a history of generalized dystonia who developed sudden onset of adductor spasms of the vocal cords and increased dystonia after the interruption or intrathecal baclofen therapy. Her symptoms resolved after intrathecal baclofen was restored. In patients with dystonia receiving intrathecal baclofen therapy, the onset of dyspnea associated with increased muscle tone should prompt the investigation of baclofen withdrawal.
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