Hallucinations in a Toddler Following Topiramate Intoxication

Abstract

Topiramate is a common anticonvulsant medication used to treat seizures. We describe a 3-year-old boy who unintentionally ingested an unknown amount of topiramate tablets and soon after, was found to have strange behavior. He experienced visual hallucinations with evolving neurologic abnormalities including incoherence, confusion, and delirium. After 1 day from the suspected time of ingestion, the child had completely recovered without medical intervention and experienced no permanent neurologic sequelae. Topiramate ingestion is a rare cause of hallucinations in children and should be suspected in children who present with altered mental status and mild metabolic acidosis. Int J Clin Pediatr. 2023;12(2):51-54 doi: https://doi.org/10.14740/ijcp514