Adjustment disorder after botulinum toxin injection in an adolescent palatal myoclonus case: The importance of informed consent in the treatment of neuropsychiatric disorders in children and adolescents

摘要

Informed consent in clinical practice is a process in which apatient consents to participate or undergo the proposed procedures after being informed of its procedures, risks, and benefits.Ideally, the patient is expected to give his/her consent solely afterfully understanding the information about the procedures, benefits, and risks involved in the practice. According to the doctrine,the necessary information should be given by the physician andhe/she should also respect the decision of the patient which isbased on this information.1 Although the importance of providinginformation about the proposed treatment’s effects and side effectsto children and adolescents before treatment is accepted by physicians, this issue is given little importance in research and case presentations.2 In this case, it was aimed to discuss the importance ofinformed consent and multi-disciplinary approach in treatment bypresenting an adolescent patient who was diagnosed with palatalmyoclonus and treated with botulinum toxin. Although the neurological treatment was effective, the patient developed adjustmentdisorder (with depressive mood) due to dysphonia after theprocedure.