Baklofen toksisitesi beyin sapı reflekslerini baskılayarak koma ve ölüme dek ilerleyebilir bu nedenle acil değerlendirme, doğru tanı ve tedavi, olası nörolojik sekelleri önlemek açısından oldukça önemlidir. Bu yazıda önceden baklofen pompası mevcut olan ve yatağında tepkisiz ve şuuru kapalı şekilde bulunarak acil servise getirilen bir olgu sunulmuştur. Olgunun başvuru sırasında beyin sapı refleksleri mevcut değildi. Hasta baclofen toksisitesi tanısı ile acil cerrahiye alınmış ve pompadaki baklofen boşaltılıp serebrospinal sıvı drenajı sağlanmıştır.

Baclofen toxicity in a patient with baclofen pump

Baclofen toxicity is a severe condition which may suppress brainstem reflexes leading to coma and death therefore emergency evaluation, correct diagnosis and treatment are crucial to prevent any possible neurologic sequel. Here we present a case with previous baclofen pump who was brought to the Emergency Department as he was found unresponsive in the bed. The brainstem reflexes were absent. He was taken to emergency surgery room and with the diagnosis of baclofen toxicity the reservoir was removed from the pump and cerebrospinal fluid drainage was supplied. The patient was discharged with his baseline neurologic examination without any complication the following day.