Inability to walk, disequilibrium, incoherent speech, disorientation following the instillation of 1% cyclopentolate eyedrops: case report

Pediatr Emerg Care. 2012 Jan;28(1):59-60. doi: 10.1097/PEC.0b013e3182417a63.

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.

Publication types

  • Case Reports

MeSH terms

  • Autonomic Fibers, Postganglionic / drug effects
  • Child, Preschool
  • Cholinergic Antagonists / administration & dosage
  • Cholinergic Antagonists / adverse effects*
  • Confusion / chemically induced*
  • Cyclopentolate / administration & dosage
  • Cyclopentolate / adverse effects*
  • Diagnostic Techniques, Ophthalmological
  • Dysarthria / chemically induced*
  • Emergencies
  • Gait Disorders, Neurologic / chemically induced*
  • Humans
  • Male
  • Mydriatics / administration & dosage
  • Mydriatics / adverse effects*
  • Ophthalmic Solutions
  • Postural Balance / drug effects*
  • Sensation Disorders / chemically induced*

Substances

  • Cholinergic Antagonists
  • Mydriatics
  • Ophthalmic Solutions
  • Cyclopentolate