{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:20:25Z","timestamp":1788441625284,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to present a patient who developed a severe chorea after orthopedic surgery, plausibly related to multiple anesthetic agents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case<\/jats:title>\n                    <jats:p>\n                      An otherwise healthy 11-year-old girl developed choreiform movements and distressing behaviors (screaming, visual hallucinations) 24-36 hours after ankle-fracture surgery. With urgent stabilization needed and haloperidol not yet at an effective dose, continuous midazolam infusion provided prompt control. Other potential causes of chorea were excluded: brain magnetic resonance imaging and cerebrospinal fluid were normal; routine biochemistry and complete blood count were unremarkable; autoimmune encephalitis antibodies, antinuclear antibody, and anti-dsDNA were negative; anti\u2013streptolysin\n                      <jats:italic toggle=\"yes\">O<\/jats:italic>\n                      was not elevated, echocardiography was normal; throat culture and viral serologies were negative. After exclusion of alternative etiologies, the presentation was attributed to propofol and tramadol exposure (movement disorder component) with a paradoxical reaction to midazolam (psychiatric symptoms).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Such adverse effects can occur after anesthesia and may appear in a delayed fashion, independent of drug half-lives. Benzodiazepine infusion can serve as an effective bridge\/primary therapy in antipsychotic-refractory postoperative hyperkinesias of childhood.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08830738261420286","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T04:44:12Z","timestamp":1771303452000},"page":"1340-1343","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Delayed-Onset Acute Chorea Following Anesthesia"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4407-164X","authenticated-orcid":false,"given":"Hande Gazeteci","family":"Tekin","sequence":"first","affiliation":[{"name":"\u0130zmir Bak\u0131r\u00e7ay University; \u00c7i\u011fli Regional Training and Research Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zgen","family":"H\u00fcr","sequence":"additional","affiliation":[{"name":"\u0130zmir Bak\u0131r\u00e7ay University; \u00c7i\u011fli Regional Training and Research Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8540-4685","authenticated-orcid":false,"given":"Fatma","family":"Ku\u015fg\u00f6z","sequence":"additional","affiliation":[{"name":"\u0130zmir Bak\u0131r\u00e7ay University; \u00c7i\u011fli Regional Training and Research Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faruk","family":"\u0130ncecik","sequence":"additional","affiliation":[{"name":"\u0130zmir Bak\u0131r\u00e7ay University; \u00c7i\u011fli Regional Training and Research Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12339"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s42466-023-00260-w"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/JAMANETWORKOPEN.2024.6792"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14819"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/genes11111295"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(16)00132-0"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2013.65.1.2"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2013.65.1.9"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2011.12.007"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0924270800034955"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-2673"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2005.01493.x"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.58.9.1327"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/ANA.0b013e318288af99"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1155\/cria\/8850185"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-9185.98347"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-019-01548-9"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/111.5.1211"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1212\/NXI.0000000000000663"}],"container-title":["Journal of Child Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08830738261420286","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08830738261420286","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08830738261420286","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:07:50Z","timestamp":1788440870000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08830738261420286"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,16]]},"references-count":19,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/08830738261420286"],"URL":"https:\/\/doi.org\/10.1177\/08830738261420286","relation":{},"ISSN":["0883-0738","1708-8283"],"issn-type":[{"value":"0883-0738","type":"print"},{"value":"1708-8283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,16]]}}}