Severe bilateral cerebellar edema from ingestion of ketamine: case report

Author:

Villelli Nicolas1,Hauser Natalie1,Gianaris Thomas1,Froberg Blake A.2,Fulkerson Daniel H.1

Affiliation:

1. Department of Neurological Surgery, Division of Pediatric Neurosurgery, Goodman Campbell Brain and Spine; and

2. Department of Clinical Emergency Medicine and Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana

Abstract

The use of ketamine as a drug of abuse has increased and so too has the risk of accidental overdose. Here, the authors report the case of a 10-month-old infant who inadvertently ingested ketamine. The child demonstrated severe cerebellar swelling that required emergency surgical intervention. The authors describe the clinical course of this child and present the radiographic characteristics of the brain. The imaging characteristics were not consistent with purely anoxic injury, thus suggesting a specific effect of this drug. To the authors’ knowledge, similar imaging characteristics in this context have not been described.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

General Medicine

Reference38 articles.

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5. Cerebellar infarction in the young;Rosman;Stroke,1992

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3. Ketamine—a review of published cases;Toxicology Cases for the Clinical and Forensic Laboratory;2020

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