Abstract
A 4-year-old boy, who had no prior history of convulsions, presented with inability to walk, disequilibrium, dysarthria (incoherent speech), and impaired cognition (disorientation) following the instillation of 1% cyclopentolate, a commonly used mydriatic in pediatric practice. This case demonstrates the uncommon, although serious, atropine-like adverse effect of cyclopentolate eyedrops in usual dosage in child.
MeSH terms
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Autonomic Fibers, Postganglionic / drug effects
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Child, Preschool
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Cholinergic Antagonists / administration & dosage
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Cholinergic Antagonists / adverse effects*
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Confusion / chemically induced*
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Cyclopentolate / administration & dosage
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Cyclopentolate / adverse effects*
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Diagnostic Techniques, Ophthalmological
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Dysarthria / chemically induced*
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Emergencies
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Gait Disorders, Neurologic / chemically induced*
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Humans
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Male
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Mydriatics / administration & dosage
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Mydriatics / adverse effects*
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Ophthalmic Solutions
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Postural Balance / drug effects*
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Sensation Disorders / chemically induced*
Substances
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Cholinergic Antagonists
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Mydriatics
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Ophthalmic Solutions
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Cyclopentolate