Case Report
Two Cases of Seizures Due to Lignocaine Toxicity Following Elective Circumcision
Ahlaam Arif1, Mohd Mujahid Ali1, Shaik Mazahar Hussain1, Habib G Pathan2 and Shalini Akunuri3*
1Department of Paediatrics, Princess Esra Hospital, Deccan college of medical Sciences, Hyderabad, India
2Department of Paediatric Neurology, Princess Esra Hospital, Deccan college of medical Sciences, Hyderabad, India
3Department of Paediatric Intensive care, Princess Esra Hospital, Deccan college of medical Sciences, Hyderabad, India
Dr Shalini Akunuri, Department of Paediatric Intensive care, Princess Esra Hospital, Deccan college of medical Sciences, Hyderabad, India.
Received Date: April 13, 2023; Published Date: April 21, 2023
Abstract
Lignocaine is the most preferred local anesthetic worldwide; however, it is not without its side effects. Local anesthetic systemic toxicity is commonly reported as seizures, respiratory arrest, or adverse cardiac events like arrythmias. We report 2 cases of lignocaine toxicity presenting as generalized seizures and respiratory failure. Both required mechanical ventilation for variable duration, and both were eventually discharged, however, in stark contrasting state where one of them was completely normal and the other severely neuro-debilitated.
Keywords:Lignocaine; Seizures; Circumcision
Abbreviations:LAST: Local Anaesthetic Systemic Toxicity; CNS: Central Nervous System; CSF: Cerebrospinal Fluid; MRI: Magnetic Resonance Imaging
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Ahlaam Arif, Mohd Mujahid Ali, Shaik Mazahar Hussain, Habib G Pathan and Shalini Akunuri. Two Cases of Seizures Due to Lignocaine Toxicity Following Elective Circumcision. Arch Neurol & Neurosci. 15(2): 2023. ANN.MS.ID.000855.
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