Indian Journal of Anaesthesia  
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Year : 2011  |  Volume : 55  |  Issue : 2  |  Page : 184-186

Catatonia and jaw dislocation in the postoperative period with epidural morphine

Department of Anaesthesiology and Critical Care, JIPMER, Pondicherry, India

Correspondence Address:
Satyen Parida
Qr. No. E-44, JIPMER Campus, Dhanvantari Nagar, Pondicherry - 605 006
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5049.79904

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We report a case of temporomandibular joint dislocation occurring in the postoperative period in a patient, who developed catatonia following administration of a single dose of epidural morphine. The catatonic response to epidural morphine was delayed by several hours in the postoperative period, and might have resulted from intrathecal migration of the drug, through an initial dural puncture while locating the epidural space. The temporomandibular joint dislocation was diagnosed only after reversal of the effects of morphine with naloxone, when the patient complained of inability to fully close her mouth.

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