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REGIONAL ANESTHESIA AND PAIN MEDICINE

Intrathecal Baclofen Pump Implantation Complicated by Epidural Lipomatosis

Hussein A. Huraibi, MD^*, Joseph Phillips, MD, PhD, Robert J. Rose, MD^*, Henry Pallatroni, MD, Heloise Westbrook, MD, PhD^*, and Gilbert J. Fanciullo, MD^*

Departments of *Anesthesiology and Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire

Address correspondence to Gilbert J. Fanciullo, MD, Pain Management Center, Dartmouth-Hitchcock Medical Center, One Medical Center Dr., Lebanon, NH 03756. Address e-mail to Gilbert.J.Fanciullo{at}Hitchcock.org

Implications: Intrathecal baclofen is a useful therapy in patients with spasticity. We describe a patient who underwent an intrathecal pump implant, complicated by epidural lipomatosis that ultimately required a single level laminectomy and fat debulking before successful implantation.

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