Intrathecal Baclofen Pump Implantation Complicated by Epidural Lipomatosis

Bilateral Subdural Hematoma Following Implantation of Intrathecal Drug Delivery Device

“…Children appear to be at higher risk for complications than adults (10). Exceptional complications have been reported: migration of the catheter into the subdural space (11) and development of epidural lipomatosis requiring laminectomy (12).…”

Idiopathic spinal epidural lipomatosis

“…Other rare causes known to be associated with SEL include hypothyroidism, 8 Paget's disease of bone, 9 pituitary prolactinama, 10 intrathecal baclofen pump implantation. 11 However, these have been isolated case reports and do not provide any definite aetiopathogenic mechanism of excessive fat deposition. Neurological symptoms typically develop slowly and a good response is generally obtained by surgical decompression.…”

Pont de Dolor: A Dual Laminotomy Technique for Placing and Securing an Electrode in the Epidural Space and Comments About Anatomic Variation That May Complicate Spinal Cord Stimulator Electrode Placement

“…The two patients reported here and a third previously reported (3) with an unanticipated anatomic complication encountered during placement of an intrathecal analgesic infusion system are drawn from a population of 105 percutaneous cylindrical electrode placements with 11 flat lead revisions for lead migration and 15 intrathecal analgesic programmable pump infusion system implantations done over a two‐year period from 2000 to 2001. Our practice is to use cylindrical electrodes for initial lead placement procedures and to place flat electrodes for all revisions.…”