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 86
- Downloads 0
Compliance with the 2014 ESC/ESAguidelines for preoperative cardiovascular assessment in patients undergoing non-cardiac surgery by five tertiary hospitals in Greece: A retrospective observational study.
n 2014, the European Society of Cardiology and European Society of Anaesthesiology published guidelines on preoperative assessment and management of patients scheduled for non-cardiac surgery. Compliance with these guide...
Nursing care plan for patients Undergoing thymectomy for Myasthenia Gravis
One half of cortical thymoma patients develop myasthenia gravis (MG), an autoimmune disease affecting the voluntary muscles, while 15% of MG patients have thymomas. Thymectomy has been a mainstay in the treatment of myas...
Systemic and cerebral effects of the head-down and head-up positions in ischemic heart patients under anesthesia
In cardiac surgery, head-down and head-up positions are used to control cardiac filling pressure and for cardiac exposure. Even though benefits of head positioning are not clear, they can also bring some risks. Understan...
Workload during a complex ICU monitoring task: the effect of level of patient’s sedation level and repetion of the task
Patient care in Intensive Care Units is characterized by high demanding tasks, which leads in daily high workload. The aim of the study is to evaluate the effect of patient’s sedation level to workload for the certain ta...
Letter from the Editors
Editorial