caa a22 4500 463179552 CHVBK 20180406164835.0 cr unu---uuuuu 170326e20070701xx s 000 0 eng 10.1007/s00381-007-0298-5 doi (NATIONALLICENCE)springer-10.1007/s00381-007-0298-5 Interaction of ventriculoperitoneal shunt and baclofen pump [Elektronische Daten] [Daniel Fulkerson, Joel Boaz, Thomas Luerssen] Objective: The authors present three cases of children with shunted hydrocephalus and intrathecal delivery of baclofen via an implanted pump. Each case illustrates a potential interaction of these devices. Materials and methods: A review of the pertinent charts, operative notes, and discharge summaries was performed, along with examination of the pertinent literature. Conclusion: The first case illustrates that a change in the pharmacology or effect of intrathecal baclofen may be caused by a failure of a shunt affecting cerebrospinal fluid clearance. The second case illustrates that patients can have ventricular changes with any procedure that accesses the thecal space, even with a functioning shunt. The third case illustrates that ensuring that a patient's shunt is functional before implantation of a baclofen pump is imperative. As the potential pool of patients with both shunted hydrocephalus and need for intrathecal baclofen grows, clinicians should be aware of potential serious interactions. Springer-Verlag, 2007 Spasticity nationallicence Intrathecal baclofen nationallicence Complication nationallicence Hydrocephalus nationallicence Cerebrospinal fluid shunt nationallicence Low pressure hydrocephalus nationallicence Fulkerson Daniel Pediatric Neurosurgery Service, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, 702 Barnhill Drive, Room 1134, 46202, Indianapolis, IN, USA aut Boaz Joel Pediatric Neurosurgery Service, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, 702 Barnhill Drive, Room 1134, 46202, Indianapolis, IN, USA aut Luerssen Thomas Pediatric Neurosurgery Service, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, 702 Barnhill Drive, Room 1134, 46202, Indianapolis, IN, USA aut Child's Nervous System Springer-Verlag 23/7(2007-07-01), 733-738 0256-7040 23:7<733 2007 23 381 https://doi.org/10.1007/s00381-007-0298-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0298-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fulkerson Daniel Pediatric Neurosurgery Service, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, 702 Barnhill Drive, Room 1134, 46202, Indianapolis, IN, USA aut NATIONALLICENCE 700 1- Boaz Joel Pediatric Neurosurgery Service, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, 702 Barnhill Drive, Room 1134, 46202, Indianapolis, IN, USA aut NATIONALLICENCE 700 1- Luerssen Thomas Pediatric Neurosurgery Service, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, 702 Barnhill Drive, Room 1134, 46202, Indianapolis, IN, USA aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/7(2007-07-01), 733-738 0256-7040 23:7<733 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer