Electrophysiological findings in a case of severe intrathecal baclofen overdose

Electroencephalogr Clin Neurophysiol. 1992 Jul;83(1):83-6. doi: 10.1016/0013-4694(92)90136-6.

Abstract

Multimodality evoked potentials were examined in a case of serious accidental intrathecal baclofen overdose in a patient who suffered from severe spasticity due to a traumatic brain lesion. Electrophysiological findings during, before and after the intoxication were compared. Transcranial electrical stimulation up to 750 V did not evoke any responses in thenar muscles on the first day of intoxication. An improvement to normal values was observed within 3 days, paralleled by an amelioration of the patient's clinical condition. Cervical electrical stimulation was largely unaffected by baclofen. Median nerve somatosensory and brain-stem acoustic evoked potentials revealed few or no differences during intoxication compared to pre- and post-intoxication responses.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Baclofen / poisoning*
  • Drug Overdose / physiopathology
  • Electric Stimulation
  • Electroencephalography / drug effects
  • Evoked Potentials / drug effects
  • Evoked Potentials, Somatosensory / drug effects
  • Humans
  • Injections, Spinal
  • Male
  • Muscles / physiology
  • Reaction Time / drug effects

Substances

  • Baclofen