Appeared inexplicable disorders of consciousness after general anesthesia tracheal tube drawing in endoscopic tympanoplasty
Background Disorders of consciousness (DOC) are neurocognitive disorders related to sharp fluctuations of attention and consciousness, while DOC is characterized by significant interindividual differences, rapid development, and a higher lethal rate. Case information A 53‐year‐old female patient und...
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| Format: | Article |
| Language: | English |
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Wiley-VCH
2021-06-01
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| Series: | Ibrain |
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| Online Access: | https://doi.org/10.1002/j.2769-2795.2021.tb00073.x |
| _version_ | 1798044685157007360 |
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| author | Kun Qian Song Cao Xing‐Kui Liu |
| author_facet | Kun Qian Song Cao Xing‐Kui Liu |
| author_sort | Kun Qian |
| collection | DOAJ |
| description | Background Disorders of consciousness (DOC) are neurocognitive disorders related to sharp fluctuations of attention and consciousness, while DOC is characterized by significant interindividual differences, rapid development, and a higher lethal rate. Case information A 53‐year‐old female patient underwent general anesthesia with tracheal intubation in otoendoscopic tympanoplasty. The patient suddenly appeared moderate DOC after tracheal tube removal with K+ 3.6 (3.5–5.3 mmol/L). Based on the ancillary testing and routine laboratory workup, the possible causes of DOC, such as general anesthesia drugs and cardio cerebral events, were temporarily excluded. DOC was reversed by intravenous administration of KCl 1 g, with K+ 3.78 mmol/L. On one day after surgery, the patient occurred suddenly DOC again after intravenous guttae of 5% glucose 1000 ml, K+ 3.87 mmol/L, possibly because of her recurrent hypokalemic paralysis (HP) of past medical history. The patient's consciousness gradually improved after effective KCl supplementation therapy. Conclusion DOC caused by periodic paralysis (PP) has not been reported, we speculate that hypoactive DOC is closely correlated with normokalemic periodic paralysis (NormoPP) in this case. |
| first_indexed | 2024-04-11T23:08:10Z |
| format | Article |
| id | doaj.art-052441a8102f40f693c9dc52fb943499 |
| institution | Directory Open Access Journal |
| issn | 2769-2795 |
| language | English |
| last_indexed | 2024-04-11T23:08:10Z |
| publishDate | 2021-06-01 |
| publisher | Wiley-VCH |
| record_format | Article |
| series | Ibrain |
| spelling | doaj.art-052441a8102f40f693c9dc52fb9434992022-12-22T03:57:55ZengWiley-VCHIbrain2769-27952021-06-017211311810.1002/j.2769-2795.2021.tb00073.xAppeared inexplicable disorders of consciousness after general anesthesia tracheal tube drawing in endoscopic tympanoplastyKun Qian0Song Cao1Xing‐Kui Liu2Department of AnesthesiologyThe Affiliated Hospital of Zunyi Medical UniversityZunyiGuizhouChinaDepartment of PainThe Affiliated Hospital of Zunyi Medical UniversityZunyiGuizhouChinaCollege of Anesthesiology, Zunyi Medical UniversityZunyiGuizhouChinaBackground Disorders of consciousness (DOC) are neurocognitive disorders related to sharp fluctuations of attention and consciousness, while DOC is characterized by significant interindividual differences, rapid development, and a higher lethal rate. Case information A 53‐year‐old female patient underwent general anesthesia with tracheal intubation in otoendoscopic tympanoplasty. The patient suddenly appeared moderate DOC after tracheal tube removal with K+ 3.6 (3.5–5.3 mmol/L). Based on the ancillary testing and routine laboratory workup, the possible causes of DOC, such as general anesthesia drugs and cardio cerebral events, were temporarily excluded. DOC was reversed by intravenous administration of KCl 1 g, with K+ 3.78 mmol/L. On one day after surgery, the patient occurred suddenly DOC again after intravenous guttae of 5% glucose 1000 ml, K+ 3.87 mmol/L, possibly because of her recurrent hypokalemic paralysis (HP) of past medical history. The patient's consciousness gradually improved after effective KCl supplementation therapy. Conclusion DOC caused by periodic paralysis (PP) has not been reported, we speculate that hypoactive DOC is closely correlated with normokalemic periodic paralysis (NormoPP) in this case.https://doi.org/10.1002/j.2769-2795.2021.tb00073.xDisorders of consciousnessPast medical historyHypokalemic paralysisPeriodic paralysisNormokalemic periodic paralysis |
| spellingShingle | Kun Qian Song Cao Xing‐Kui Liu Appeared inexplicable disorders of consciousness after general anesthesia tracheal tube drawing in endoscopic tympanoplasty Ibrain Disorders of consciousness Past medical history Hypokalemic paralysis Periodic paralysis Normokalemic periodic paralysis |
| title | Appeared inexplicable disorders of consciousness after general anesthesia tracheal tube drawing in endoscopic tympanoplasty |
| title_full | Appeared inexplicable disorders of consciousness after general anesthesia tracheal tube drawing in endoscopic tympanoplasty |
| title_fullStr | Appeared inexplicable disorders of consciousness after general anesthesia tracheal tube drawing in endoscopic tympanoplasty |
| title_full_unstemmed | Appeared inexplicable disorders of consciousness after general anesthesia tracheal tube drawing in endoscopic tympanoplasty |
| title_short | Appeared inexplicable disorders of consciousness after general anesthesia tracheal tube drawing in endoscopic tympanoplasty |
| title_sort | appeared inexplicable disorders of consciousness after general anesthesia tracheal tube drawing in endoscopic tympanoplasty |
| topic | Disorders of consciousness Past medical history Hypokalemic paralysis Periodic paralysis Normokalemic periodic paralysis |
| url | https://doi.org/10.1002/j.2769-2795.2021.tb00073.x |
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