Reversible akinetic mutism possibly induced by baclofen

Devon I. Rubin, Elson L. So

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

A 76-year-old man developed akinetic mutism after 3 days of receiving low-dosage baclofen. Electroencephalography showed a diffusely slow background with intermittent generalized sharp wave discharges. The condition resolved after discontinuing baclofen. To our knowledge, this is the first reported case of baclofen-induced akinetic mutism in a patient with normal renal function. The pathophysiology of this condition is unknown, but it may result from selective binding of the drug to the γ-aminobutyric acid-B receptors located in the frontal lobes or thalamic nuclei, interrupting the thalamocortical limbic pathways.

Original languageEnglish (US)
Pages (from-to)468-470
Number of pages3
JournalPharmacotherapy
Volume19
Issue number4 I
DOIs
StatePublished - Jan 1 1999

ASJC Scopus subject areas

  • Pharmacology (medical)

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