Cardiac Arrest: A Rare Complication of Intra Thecal Baclofen Withdrawal (P10-7.008)

Baclofen, a gamma-aminobutyric acid(GABA)receptor agonist, is used for the management of spasticity in neuromuscular disorders. Intrathecal(IT) route is indicated in cases of severe spasticity associated with spinal cord injury with side effects profile. Baclofen withdrawal symptoms can happen after IT pump removal which can present as pruritus, anxiety, or severe symptoms like paranoia, psychosis, seizures, hallucinations, severe spasticity and dyskinesia. Cardiac arrest after baclofen withdrawal is rare with only 2 cases in literature so far however in both cases IT-pump was replaced. We present a case of PEA arrest after baclofen IT-pump removal which was managed without replacing.