To try to avoid drowsiness, a low dose is usually started at first, and then built up gradually if needed. Also, the full daily dose is often taken at night because of the drowsiness side-effect. A dry mouth is another common side-effect. Frequent sips of water may help with a dry mouth. Blurred vision and sweating can also occur. See the leaflet that comes with the medicine packet for a full list of possible side-effects. Ami-triptyline can cause problems with driving or operating machinery – please do not do these things if you experience drowsiness or blurred vision. Alcohol is best avoided with amitrityline unless specifically advised otherwise by your doctor. Baclofen Baclofen is used to relieve muscle spasms in conditions which affect the nervous system. These include multiple sclerosis, motor neurone disease, cerebral palsy and long-term injuries to the head or back. In these conditions the muscles may cramp or tighten causing spasms. Baclofen works by causing the muscles to relax which reduces pain and discomfort. This can also cause the muscles to feel a little weaker than usual. If your muscle spasms increase after taking baclofen, or if your muscles become weak so that you have difficulty doing things, let your doctor know as your dose may need adjusting. Baclofen should be taken exactly as your doctor tells you and you should read the manufacturer's printed information leaflet in the packet. Try to take baclofen at the same times each day, with or after food where possible to avoid missing any doses. If you do forget to take a dose, take one as soon as you remember unless it is nearly time for your next dose, in which case skip the missed dose. Do not take two doses at the same time to make up. Common side effects of baclofen include drowsiness, nausea and lightheadedness. These may be worse to start with and lessen as you continue taking baclofen. Do not stop taking this medicine without speaking to your doctor first as stopping suddenly may cause unwanted side-effects. If your doctor decides you should stop taking baclofen, your dose will be reduced gradually to prevent these from occurring. If your muscle spasms increase after taking baclofen, or if your muscles become weak so that you have difficulty doing things, let your doctor know as your dose may need adjusting. Neurological examThe type of neurological exam will depend on a person's age. The neurologist may ask questions and conduct relatively simple tests in the office to judge muscle condition, movement, well-being and how well the senses are functioning.Brain imagingImaging tests can help diagnose hydrocephalus and identify underlying causes of the symptoms. These tests may include:Ultrasound. Ultrasound imaging, which uses high-frequency sound waves to produce images, is often used for an initial assessment for infants because it's a relatively simple, low-risk procedure. The ultrasound device is placed over the soft spot (fontanel) on the top of a baby's head. Ultrasound may also detect hydrocephalus prior to birth when the procedure is used during routine prenatal examinations.Magnetic resonance imaging (MRI) uses radio waves and a magnetic field to produce detailed 3D or cross-sectional images of the brain.