Pediatric neurosurgery
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Pediatric neurosurgery · Sep 2003
Case ReportsMicrofracture of a baclofen pump catheter with intermittent under- and overdose.
An 8-year-old boy with an implanted intrathecal baclofen pump presented with intermittent signs of baclofen under- and overdose. Pump interrogation, pump volumes, plain X-rays, catheter contrast fluoroscopy and CT of the intrathecal catheter tip were unremarkable. ⋯ Symptoms resolved following replacement. Microfracture of the intrathecal catheter of baclofen pump systems may present puzzling symptomatology and be difficult to diagnose by conventional means.