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  • Title: [Severe hyperthermia caused by sudden withdrawal of continuous intrathecal administration of baclofen].
    Author: Grenier B, Mesli A, Cales J, Castel JP, Maurette P.
    Journal: Ann Fr Anesth Reanim; 1996; 15(5):659-62. PubMed ID: 9033759.
    Abstract:
    Baclofen is used for the treatment of post-traumatic spasticity. It carries a risk of overdose as well as of an acute withdrawal syndrome. We report two cases of severe hypertonia and hyperthermia (> 42 degrees C), occurring after accidental discontinuation of intrathecal infusion of baclofen. Both hypertonia and hyperthermia ceased when administration of baclofen was resumed. In parallel, the patients developed transient life-threatening alterations of hepatic (cytolysis), haematologic (coagulopathy) and cardiorespiratory functions for some days. It is concluded that the occurrence of such a withdrawal syndrome should be prevented, especially in patients with chronic intrathecal administration and first symptoms should be recognized without delay. Relationships with other malignant hyperthermias are discussed.
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