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Pediatric tramadol ingestion resulting in seizurelike activity: a case series
Suzan S Mazor1, Kenneth W Feldman, Naomi F Sugar
1Department of Pediatrics, Emergency Medicine, University of Washington School of Medicine, Seattle, WA, USA. Suzan.mazor@seattlechildrens.org
Insights
Tramadol overdose can cause seizures in infants. This study highlights tramadol poisoning as a key cause of seizures and dystonia in infants, necessitating its inclusion in differential diagnoses.
Area of Science:
- Pediatric Neurology
- Clinical Toxicology
Background:
- Tramadol is an analgesic medication with known risks of seizures.
- Seizure risk is documented at therapeutic doses and in overdose scenarios.
Observation:
- Two infant cases of tramadol poisoning were analyzed.
- Both infants exhibited abnormal neurological symptoms, including seizures or seizure-like activity.
Findings:
- Tramadol poisoning can manifest as seizures or seizure-like activity in infants.
- Dystonia was also observed in conjunction with these neurological findings.
Implications:
- Tramadol poisoning should be considered in the differential diagnosis for infants presenting with seizures.
- This underscores the importance of vigilant monitoring for neurological adverse effects of tramadol in pediatric populations.
Abstract:
Tramadol has been reported to cause seizures in therapeutic dosing and in overdose. We present a series of 2 infants poisoned with tramadol, both presenting with abnormal neurologic findings: either seizures or seizurelike activity. Tramadol poisoning should be considered in the differential diagnosis of dystonia and seizures.
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