ISSN: 2167-0870
Department of Internal Medicine, Medical University of Graz, Graz, Austria
Case Report
Malignant Baclofen Induced Coma Reversible by Dialysis in a 67-Year Old Patient with Acute Kidney Injury
Author(s): Oliver Malle*, Tadeja Urbanic Purkart and Karin Amrein
Introduction: Baclofen is a commonly used drug for the treatment of muscular spasticity and other conditions such
as pain, alcohol withdrawal and myoclonus and is contraindicated in chronic kidney disease. Eliminated
predominantly by the kidneys, acute renal insufficiency can lead to acute baclofen overdose with central nervous
system affection caused by accumulation. Currently, there is no consensus about the treatment of baclofen
intoxication. However, several reports showed that haemodialysis can effectively clear baclofen. We report a 67-yearold
patient with baclofen intoxication caused by acute kidney failure presenting in a deeply comatose state that could
be completely reversed within hours after one single haemodialysis.
Case report: A 67-year-old woman was admitted with altered mental status and vomiting. Initially s.. View More»
DOI:
10.35248/2167-0870.22.S17.003