Recurrent seizures following mucosal application of TAC

Mohamud R. Daya, Brent T. Burton, Mark R. Schleiss, John H. DiLiberti

Research output: Contribution to journalArticlepeer-review

72 Scopus citations


A 5-year-old 20-kg boy developed grand mal seizures following application of 2 mL of tetracaine-adrenalin-cocaine to an oral mucosa laceration. Diazepam 6 mg IV followed by 195 mg phenobarbital was required to terminate the seizures. The patient was transferred to a pediatric intensive care unit for further evaluation and treatment. A toxicology screen obtained after transfer was positive only for diazepam and phenobarbital. The child remained lethargic for several hours but otherwise had a normal neurological examination. Brain computed tomography was normal. Anticonvulsant medication was discontinued prior to discharge and the child had no subsequent seizures.

Original languageEnglish (US)
Pages (from-to)646-648
Number of pages3
JournalAnnals of emergency medicine
Issue number6
StatePublished - Jun 1988


  • TAC, complications, seizures

ASJC Scopus subject areas

  • Emergency Medicine


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