Pinto Jamie M, Babu Kavita, Jenny Carole
From the *K. Hovnanian Children's Hospital, Neptune, NJ; †Rhode Island Hospital; and ‡Hasbro Children's Hospital, Warren Alpert Medical School of Brown University, Providence, RI.
Pediatr Emerg Care. 2013 Sep;29(9):1006-8. doi: 10.1097/PEC.0b013e3182a3204d.
Child neglect can be difficult to recognize. Parental substance abuse may place a child at increased risk of neglect. This report reviews 2 cases of dystonic reaction in children after accidental exposure to cocaine in their home environments. The reports are followed by a review of proposed physiologic mechanisms for cocaine-induced dystonia and a discussion on neurological symptoms that may develop after cocaine exposure. Pediatric emergency physicians should consider cocaine exposure when a child of any age presents with abnormal movements. Dystonic reaction is an uncommon, but reported, complication of cocaine exposure in the absence of other risk factors and may be the first presentation of child neglect.
儿童忽视可能难以识别。父母滥用药物可能会使儿童面临更高的被忽视风险。本报告回顾了2例儿童在家中意外接触可卡因后发生张力障碍反应的病例。报告之后是对可卡因诱发张力障碍的拟议生理机制的综述，以及关于可卡因接触后可能出现的神经症状的讨论。当任何年龄段的儿童出现异常运动时，儿科急诊医生都应考虑可卡因接触的可能性。在没有其他风险因素的情况下，张力障碍反应是可卡因接触的一种罕见但有报告的并发症，可能是儿童忽视的首发表现。
