Acute masseter dystonia in a pediatric patient receiving aripiprazole and methylphenidate following induction of general anesthesia

Michelle LeRiger; Jasper Williams; Greta Duncan-Wiebe; Mohanad Shukry

doi:10.1111/pan.13154

Acute masseter dystonia in a pediatric patient receiving aripiprazole and methylphenidate following induction of general anesthesia

Michelle LeRiger, Jasper Williams, Greta Duncan-Wiebe, Mohanad Shukry

Anesthesiology

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

An 11-year-old male receiving aripiprazole, methylphenidate, and clonidine developed acute masseter dystonia inhibiting tracheal intubation after induction of general anesthesia with propofol and rocuronium. Following emergence, he had trismus and jaw discomfort. Psychiatry consultation suspected an acute dystonic reaction, so diphenhydramine was administered intravenously which resolved symptoms. We suspect chronic aripiprazole and methylphenidate usage combined with propofol administration in the short-term absence of methylphenidate made this patient susceptible to dystonic reactions.

Original language	English (US)
Pages (from-to)	863-864
Number of pages	2
Journal	Paediatric Anaesthesia
Volume	27
Issue number	8
DOIs	https://doi.org/10.1111/pan.13154
State	Published - Aug 2017

Keywords

anesthesia induction
aripiprazole
dystonia
pediatrics
propofol
trismus

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Anesthesiology and Pain Medicine

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10.1111/pan.13154

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abstract = "An 11-year-old male receiving aripiprazole, methylphenidate, and clonidine developed acute masseter dystonia inhibiting tracheal intubation after induction of general anesthesia with propofol and rocuronium. Following emergence, he had trismus and jaw discomfort. Psychiatry consultation suspected an acute dystonic reaction, so diphenhydramine was administered intravenously which resolved symptoms. We suspect chronic aripiprazole and methylphenidate usage combined with propofol administration in the short-term absence of methylphenidate made this patient susceptible to dystonic reactions.",

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AB - An 11-year-old male receiving aripiprazole, methylphenidate, and clonidine developed acute masseter dystonia inhibiting tracheal intubation after induction of general anesthesia with propofol and rocuronium. Following emergence, he had trismus and jaw discomfort. Psychiatry consultation suspected an acute dystonic reaction, so diphenhydramine was administered intravenously which resolved symptoms. We suspect chronic aripiprazole and methylphenidate usage combined with propofol administration in the short-term absence of methylphenidate made this patient susceptible to dystonic reactions.

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Acute masseter dystonia in a pediatric patient receiving aripiprazole and methylphenidate following induction of general anesthesia

Abstract

Keywords

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