Abstract
Aim: Serotonin syndrome (SS) is a life-threatening syndrome that occurs with the use of serotonergic drugs, most commonly due to two or more agents. Cerebral palsy is associated with mood disorders, and more commonly pain, with a prevalence of up to 50-80%. Case presentation: A 58-year-old female with cerebral palsy, metastatic malignancy and mood disorder who presented to the emergency department with acute-on-chronic pain, and signs of SS. She was initiated on iv. dilaudid, titrated off oral medications and scheduled for a left-sided sacroiliac joint injection. Results: It was suspected that due to additional doses of hydrocodone and cyclobenzaprine, she developed moderate-SS. Conclusion: Physicians need to be cognizant of comorbidities and uncommon pain medications that can predispose patients to SS.
Original language | English (US) |
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Pages (from-to) | 329-334 |
Number of pages | 6 |
Journal | Pain management |
Volume | 13 |
Issue number | 6 |
DOIs | |
State | Published - Jun 1 2023 |
Keywords
- cancer pain
- cerebral palsy
- chronic pain
- cyclobenzaprine
- hydrocodone
- opioids
- pain
- serotonin syndrome
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine