scholarly journals Opioid overdose in a child: case report and discussion with emphasis on neurosurgical implications

2015 ◽  
Vol 16 (6) ◽  
pp. 752-757 ◽  
Author(s):  
Andrew Reisner ◽  
Laura L. Hayes ◽  
Christopher M. Holland ◽  
David M. Wrubel ◽  
Meysam A. Kebriaei ◽  
...  

In environments in which opioids are increasingly abused for recreation, children are becoming more at risk for both accidental and nonaccidental intoxication. In toxic doses, opioids can cause potentially lethal acute leukoencephalopathy, which has a predilection for the cerebellum in young children. The authors present the case of a 2-year-old girl who suffered an accidental opioid overdose, presenting with altered mental status requiring cardiorespiratory support. She required emergency posterior fossa decompression, partial cerebellectomy, and CSF drainage due to cerebellar edema compressing the fourth ventricle. To the authors’ knowledge, this is the first report of surgical decompression used to treat cerebellar edema associated with opioid overdose in a child.

2021 ◽  
Vol 0 ◽  
pp. 1-3
Author(s):  
Harijot Bhattal ◽  
Jasninder Singh ◽  
Rajwinder Kaur

In environments, where opioids are used increasingly for recreational purposes, children are more at risk for both accidental and non-accidental intoxications. In toxic doses, opioids can cause lethal leukoencephalopathy. Here, we report a case of an 8-year-old male child who presented with altered mental status following accidental morphine overdose and was managed with cardio respiratory support, naloxone, and supportive therapy.


Author(s):  
Keng Lam ◽  
Sameer K. Kulkarni ◽  
Manya Khrlobyan ◽  
Pamela K. Cheng ◽  
Caroline L. Fong

2021 ◽  
pp. 101154
Author(s):  
Kamil W. Nowicki ◽  
Jasmine L. Hect ◽  
Nallamai Muthiah ◽  
Arka N. Mallela ◽  
Benjamin M. Zussman

2019 ◽  
Vol 10 (12) ◽  
pp. 402-408
Author(s):  
Christopher Robert D’Angelo ◽  
Kimberly Ku ◽  
Jessica Gulliver ◽  
Julie Chang

Author(s):  
Jade Willey ◽  
Steven J. Baumrucker

Posterior reversible encephalopathy syndrome (PRES) is associated with seizures, visual disturbances, headache, and altered mental status. Given its presentation, the diagnosis can be mistaken for other severe conditions. Palliative medicine consultants should be aware of PRES and be prepared to counsel families on the treatment and prognosis of this syndrome.


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