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Acquired Chiari I malformation following baclofen pump placement in a child. Case report.
J Neurosurg. 2004 Nov; 101(2 Suppl):211-3.JN

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.

Authors+Show Affiliations

Department of Pediatrics, University of Alabama at Birmingham, Children's Hospital, Birmingham, Alabama 35233, USA. richard.tubbs@ccc.uab.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15835109

Citation

Tubbs, R Shane, et al. "Acquired Chiari I Malformation Following Baclofen Pump Placement in a Child. Case Report." Journal of Neurosurgery, vol. 101, no. 2 Suppl, 2004, pp. 211-3.
Tubbs RS, Law C, Oakes WJ, et al. Acquired Chiari I malformation following baclofen pump placement in a child. Case report. J Neurosurg. 2004;101(2 Suppl):211-3.
Tubbs, R. S., Law, C., Oakes, W. J., & Grabb, P. A. (2004). Acquired Chiari I malformation following baclofen pump placement in a child. Case report. Journal of Neurosurgery, 101(2 Suppl), 211-3.
Tubbs RS, et al. Acquired Chiari I Malformation Following Baclofen Pump Placement in a Child. Case Report. J Neurosurg. 2004;101(2 Suppl):211-3. PubMed PMID: 15835109.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acquired Chiari I malformation following baclofen pump placement in a child. Case report. AU - Tubbs,R Shane, AU - Law,Charles, AU - Oakes,W Jerry, AU - Grabb,Paul A, PY - 2005/4/20/pubmed PY - 2005/6/17/medline PY - 2005/4/20/entrez SP - 211 EP - 3 JF - Journal of neurosurgery JO - J. Neurosurg. VL - 101 IS - 2 Suppl N2 - 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. SN - 0022-3085 UR - https://www.unboundmedicine.com/medline/citation/15835109/Acquired_Chiari_I_malformation_following_baclofen_pump_placement_in_a_child__Case_report_ L2 - https://thejns.org/doi/10.3171/ped.2004.101.2.0211 DB - PRIME DP - Unbound Medicine ER -