Conscious sedation with midazolam intravenously for a patient with Parkinson's disease and unpredictable chorea-like dyskinesia

Br J Oral Maxillofac Surg. 2018 Jul;56(6):546-548. doi: 10.1016/j.bjoms.2018.05.013. Epub 2018 Jun 13.

Abstract

Oral surgery can be difficult in patients with chorea-like dyskinesia, which is common in those on long-term levodopa medication for Parkinson's disease, and we know of no conclusive evidence to indicate whether conscious sedation with midazolam is effective in such cases. We report a patient in whom levodopa-induced chorea-like dyskinesia disappeared when midazolam was given intravenously for conscious sedation.

Keywords: Basal ganglia; Chorea-like dyskinesia; Intravenous sedation; Midazolam; Parkinson’s disease.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Conscious Sedation / methods*
  • Dental Care for Chronically Ill*
  • Dyskinesias / complications*
  • Humans
  • Hypnotics and Sedatives / administration & dosage*
  • Male
  • Midazolam / administration & dosage*
  • Parkinson Disease / complications*
  • Tooth Extraction*

Substances

  • Hypnotics and Sedatives
  • Midazolam