Catatonia and Jaw Dislocation After Epidural Morphine
Author Information
Author(s): Satyen Parida, Allampalli Varsha, Krishnappa Sudeep
Primary Institution: Department of Anaesthesiology and Critical Care, JIPMER, Pondicherry, India
Hypothesis
Can epidural morphine administration lead to catatonia and temporomandibular joint dislocation in postoperative patients?
Conclusion
The case illustrates that catatonia and temporomandibular joint dislocation can occur after epidural morphine administration.
Supporting Evidence
- Temporomandibular joint injuries accounted for 10% of airway trauma claims.
- The patient developed catatonia five hours after morphine administration.
- Naloxone was used to reverse the effects of morphine.
- The patient had a history of psychiatric illness.
- TMJ dislocation was diagnosed after the patient regained consciousness.
Takeaway
A woman had trouble moving and closing her mouth after receiving morphine for pain relief after surgery, which was linked to the medicine.
Methodology
Case report of a single patient experiencing catatonia and TMJ dislocation after epidural morphine administration.
Potential Biases
Potential bias due to lack of complete medical history and documentation.
Limitations
Details of the patient's psychiatric history were not fully documented.
Participant Demographics
48-year-old woman, ASA physical status II, weighing 48 kg and 154 cm tall.
Digital Object Identifier (DOI)
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