[Unexplained neurological dysfunction in the recovery room].
| Autor: | Pöll JS; Medisch Centrum Haaglanden, Den Haag., Berger-Plantinga EG, Meinesz SF |
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| Jazyk: | Dutch; Flemish |
| Zdroj: | Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2015; Vol. 159, pp. A8207. |
| Abstrakt: | Background: Unexplained neurological dysfunction, which used to be known as conversion disorder, is rare following general anaesthesia. This phenomenon is difficult to identify in this situation because medically induced dysfunction (anaesthesia) turns into unexplained dysfunction. Case Description: A 58-year-old man remained unresponsive to any stimuli for longer than expected following uncomplicated surgery under general anaesthesia, although his vital functions were normal. It was 2 hours after the operation before a slight eyelid response was shown. He then lay motionless in bed for several hours. Complete recovery of spontaneous movement and motor functions took 12 hours. No explanation was found. Conclusion: Unexplained neurological dysfunction can also occur following general anaesthesia. The diagnosis is made by neurological assessment. A wait-and-see approach is the management policy because the neurological dysfunction disappears spontaneously. |
| Databáze: | MEDLINE |
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