Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Postoperative hemiparesis due to conversion disorder after moderate sedation: a case report

Postoperative hemiparesis due to conversion disorder after moderate sedation: a case report Peri‐operative conversion disorder that manifests as postoperative muscle weakness is an uncommon diagnosis made through exclusion of neurological, metabolic or iatrogenic aetiologies. We present a case where a patient with a considerable history of physical and psychological trauma suffered from prolonged right‐sided hemiparesis following a breast biopsy under moderate‐to‐deep sedation. Conversion disorder following moderate‐to‐deep sedation has yet to be discussed in the literature, as all previous cases have described postoperative conversion disorder in the setting of general or central neuraxial anaesthesia. Our recommendation is for practitioners to keep conversion disorder on the list of differential diagnoses, despite the depth of sedation or type of anaesthetic utilised, and perform the same detailed neurological, metabolic and psychiatric assessment when considering postoperative weakness. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Anaesthesia Reports Wiley

Postoperative hemiparesis due to conversion disorder after moderate sedation: a case report

Jotwani, R.; Turnbull, Z. A.
Anaesthesia Reports , Volume 8 (1) – Jan 1, 2020
Download PDF
3 pages

Loading next page...
 
/lp/wiley/postoperative-hemiparesis-due-to-conversion-disorder-after-moderate-KD0i6Wny0N
Publisher
Wiley
Copyright
2020 © Association of Anaesthetists
eISSN
2637-3726
DOI
10.1002/anr3.12035
Publisher site
See Article on Publisher Site

Abstract

Peri‐operative conversion disorder that manifests as postoperative muscle weakness is an uncommon diagnosis made through exclusion of neurological, metabolic or iatrogenic aetiologies. We present a case where a patient with a considerable history of physical and psychological trauma suffered from prolonged right‐sided hemiparesis following a breast biopsy under moderate‐to‐deep sedation. Conversion disorder following moderate‐to‐deep sedation has yet to be discussed in the literature, as all previous cases have described postoperative conversion disorder in the setting of general or central neuraxial anaesthesia. Our recommendation is for practitioners to keep conversion disorder on the list of differential diagnoses, despite the depth of sedation or type of anaesthetic utilised, and perform the same detailed neurological, metabolic and psychiatric assessment when considering postoperative weakness.

Journal

Anaesthesia Reports – Wiley

Published: Jan 1, 2020

Keywords: conversion disorder; monitored anaesthetic care; postoperative weakness

References

  • Diagnostic and statistical manual of mental disorders: DSM‐V (5th ed)
  • Uncovering the etiology of conversion disorder: insights from functional neuroimaging
    Kanaan, RA
  • The prevalence of hysteria and conversion symptoms
    Farley, J; Woodruff, RA; Guze, SB
  • Postoperative conversion disorder in a pediatric patient
    Judge, A; Spielman, F
  • A case of conversion disorder showing transient hemiplegia after general anaesthesia
    Nakagawa, C; Shiraishi, Y; Sato, S
  • Conversion paralysis after surgery for lumbar disc herniation
    Hsieh, MK; Chang, CN; Hsiao, MC; Chen, WJ; Chen, LH
  • Recurrent psychogenic paresis after dural puncture in a parturient
    Nguyen, J; Abola, R; Schabel, J
  • Unexpected neurologic deficit following spinal anaesthesia
    Chibber, AK; Lustik, SJ
  • Postoperative visual loss due to conversion disorder after spine surgery: a case report
    Bezerra, DM; Bezerra, EM; Junior, AJ; Amorim, MA; de Miranda, DB
  • Therapeutic sedation for functional (psychogenic) neurological symptoms
    Stone, J; Hoeritzauer, I; Brown, K; Carson, A