Extrapyramidal side effects following intravenous morphine administration in a young patient with sickle cell disease

Yahia Yaseen Akeely; Swaid Raza Saulat; Mohamed Saied Karar; Mohamed Ismail Khider; Ibrahim Showaihi

doi:10.24911/IJMDC.51-1720602110

2024, Vol: 8, Issue: 8

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Case Report
Online Published: 30 Aug 2024

IJMDC. 2024; 8(8): 2179-2181

doi: 10.24911/IJMDC.51-1720602110

Extrapyramidal side effects following intravenous morphine administration in a young patient with sickle cell disease

Yahia Yaseen Akeely, Swaid Raza Saulat, Mohamed Saied Karar, Mohamed Ismail Khider, Ibrahim Showaihi.

Abstract
Background: Antipsychotic medicines are the primary cause of extrapyramidal symptoms (EPSs). Intravenous morphine is very rarely if ever, related to this condition. EPS is a group of different forms, such as acute dystonia, acute akathisia, parkinsonism, tardive dyskinesia, and tardive akathisia. Considering intravenous morphine, however, these kinds of adverse effects are rarely experienced. The most commonly written possible side effects of morphine include dizziness, respiratory depression, allergy, and rarely if ever mentioned, such side effects.
Case Presentation: A case of a young female known to have sickle cell disease was presented. She arrived, complaining of severe pain throughout her body. She received morphine intravenously for pain relief. Within 15 minutes, she developed neck spasms and abnormal eye-jerky movements. The treating physician treated her immediately with anticholinergic diphenhydramine 25 mg intravenously, which reversed the spasm, and the patient recovered in a few minutes. She was admitted to the medical ward for a four-day stay. The absence of morphine during her admission days prevented any recurrence of her symptoms.
Conclusion: This case provides detailed information and educates clinicians about the potential adverse effects of morphine. Furthermore, early detection and quick treatment are of utmost importance.

Key words: Acute dystonia, extrapyramidal side effects, morphine, sickle cell disease, case report

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How to Cite this Article

Pubmed Style

Akeely YY, Saulat SR, Karar MS, Khider MI, Showaihi I. Extrapyramidal side effects following intravenous morphine administration in a young patient with sickle cell disease. IJMDC. 2024; 8(8): 2179-2181. doi:10.24911/IJMDC.51-1720602110

Web Style

Akeely YY, Saulat SR, Karar MS, Khider MI, Showaihi I. Extrapyramidal side effects following intravenous morphine administration in a young patient with sickle cell disease. https://www.ijmdc.com/?mno=209235 [Access: September 28, 2024]. doi:10.24911/IJMDC.51-1720602110

AMA (American Medical Association) Style

Akeely YY, Saulat SR, Karar MS, Khider MI, Showaihi I. Extrapyramidal side effects following intravenous morphine administration in a young patient with sickle cell disease. IJMDC. 2024; 8(8): 2179-2181. doi:10.24911/IJMDC.51-1720602110

Vancouver/ICMJE Style

Akeely YY, Saulat SR, Karar MS, Khider MI, Showaihi I. Extrapyramidal side effects following intravenous morphine administration in a young patient with sickle cell disease. IJMDC. (2024), [cited September 28, 2024]; 8(8): 2179-2181. doi:10.24911/IJMDC.51-1720602110

Harvard Style

Akeely, Y. Y., Saulat, . S. R., Karar, . M. S., Khider, . M. I. & Showaihi, . I. (2024) Extrapyramidal side effects following intravenous morphine administration in a young patient with sickle cell disease. IJMDC, 8 (8), 2179-2181. doi:10.24911/IJMDC.51-1720602110

Turabian Style

Akeely, Yahia Yaseen, Swaid Raza Saulat, Mohamed Saied Karar, Mohamed Ismail Khider, and Ibrahim Showaihi. 2024. Extrapyramidal side effects following intravenous morphine administration in a young patient with sickle cell disease. International Journal of Medicine in Developing Countries, 8 (8), 2179-2181. doi:10.24911/IJMDC.51-1720602110

Chicago Style

Akeely, Yahia Yaseen, Swaid Raza Saulat, Mohamed Saied Karar, Mohamed Ismail Khider, and Ibrahim Showaihi. "Extrapyramidal side effects following intravenous morphine administration in a young patient with sickle cell disease." International Journal of Medicine in Developing Countries 8 (2024), 2179-2181. doi:10.24911/IJMDC.51-1720602110

MLA (The Modern Language Association) Style

Akeely, Yahia Yaseen, Swaid Raza Saulat, Mohamed Saied Karar, Mohamed Ismail Khider, and Ibrahim Showaihi. "Extrapyramidal side effects following intravenous morphine administration in a young patient with sickle cell disease." International Journal of Medicine in Developing Countries 8.8 (2024), 2179-2181. Print. doi:10.24911/IJMDC.51-1720602110

APA (American Psychological Association) Style

Akeely, Y. Y., Saulat, . S. R., Karar, . M. S., Khider, . M. I. & Showaihi, . I. (2024) Extrapyramidal side effects following intravenous morphine administration in a young patient with sickle cell disease. International Journal of Medicine in Developing Countries, 8 (8), 2179-2181. doi:10.24911/IJMDC.51-1720602110

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