CONVERSION DISORDER: TETRAPLEGIA AFTER SPINAL ANESTHESIA
Journal Title: Ελληνικό ηλεκτρονικό Περιοδικό Περιεγχειρητικής Ιατρικής - Year 2017, Vol 16, Issue 0
Abstract
This case report describes the rare occurrence of tetraplegia, caused by conversion disorder, in a patient who received spinal anesthesia for arthroscopic surgery. A 35-year-old female with a history of migraine headaches received spinal anesthesia for arthroscopic left knee surgery. On sensory block examination, she was noted to have a T10 level of blockade. During surgery and45 min after performing spinal anesthesia, patient reported bilateral loss of both sensation and motor function of her upper limbs. Patient was hemodynamic stable with absence of respiratory depression or any alteration of consciousness level. Physical signs and symptoms did not correlate with any known anatomical or neurological patterns. MRI imaging revealed no abnormalities. Psychiatric consultation was performed wherein familial stressor circumstances were identified, leading to diagnosis of conversion disorder.
Authors and Affiliations
Anna Tsetsou, Eleni Karagerorgiou, Nikolaos Kontostathis, Andreas Karadimos
Keywords
Related Articles
- EP ID EP595965
- DOI -
- Views 94
- Downloads 0
Perioperative Haemostaticmonitoring: older vs. newer concepts and techniques
Clinical management of acute severe bleeding in the perioperative setting is one of the major challenges for an anesthetic team. The dynamic nature of bleeding calls for rapid diagnosis and immediate interventions. Traum...
Acute electrodermal activity changes to short-time noise stimulation in adult Intensive Care Unit patients.
The electrical properties of the skin, also known as electrodermal activity (EDA), are considered as an indirect measure of autonomous nervous system. Along with that, the effects of noise-induced stress in intensive car...
A case of persistent bronchospasm after anesthesia induction
We report a case of persistent bronchospasm after anesthesia induction. The case refers to an elective surgery of an ulcerous formation in the intergluteal cleft. Bronchospasm is not an unusual event in the immediate int...
Apneic oxygenation in thoracic surgery inpatients with previous pneumonectomy
Anesthetic management of patients undergoing thoracic surgical procedures for lung cancer poses unique challenges to the anesthesiologist, including patients’ comorbidities, lateral decubitus position, the need for lung...
Assessment of awareness among anesthetists regarding emergency management of tooth avulsed during tracheal intubation
Anesthesiologist always works around the oral and peri oral soft and hard tissue. Oral/nasal intubation might injure hard tissue or “knock out” the tooth. The present study was conducted among anesthetic specialist to as...