Neonatal Mydriasis: Intravenous Lidocaine Adverse Reaction

Author:

Berger Itai1,Steinberg Avraham2,Schlesinger Yechtiel3,Seelenfreund Mordechai4,Schimmel Michael S.5

Affiliation:

1. Neuro-Pediatric Unit,

2. Neuro-Pediatric Unit

3. Infectious Disease Unit

4. Department of Ophthalmology

5. Department of Neonatology Shaare Zedek Medical Center Jerusalem, Israel

Abstract

Lidocaine (a sodium channel blocker) serves as an antiepilepsy drug in neonates. We present a neonate with a seizure disorder who acutely developed pupillary mydriasis secondary to lidocaine overdose. We suggest adding this side effect to the list of untoward effects of lidocaine and to the differential diagnosis of fixed dilated pupils in neonates treated with lidocaine. ( J Child Neurol 2002; 17:400-401).

Publisher

SAGE Publications

Subject

Neurology (clinical),Pediatrics, Perinatology and Child Health

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