Conversion phenomenon during the induction period of general anesthesia -A case report-
Conversion disorder is characterized as psychological symptoms such as somatization and emotional distress, but there is no abnormal electrical signal in the brain. We report a patient who appeared conversion disorder during the induction period of general anesthesia. A 45-year-old woman was planned...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2010-09-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-59-210.pdf |
| _version_ | 1818958659512696832 |
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| author | Jin Seo Kim Eun Jung Cho Lee Jin Park Jin Seok O |
| author_facet | Jin Seo Kim Eun Jung Cho Lee Jin Park Jin Seok O |
| author_sort | Jin Seo Kim |
| collection | DOAJ |
| description | Conversion disorder is characterized as psychological symptoms such as somatization and emotional distress, but there is no abnormal electrical signal in the brain. We report a patient who appeared conversion disorder during the induction period of general anesthesia. A 45-year-old woman was planned for arthroscopic knee meniscectomy. In the operating room, she appeared stable, but she said extremely nervous in this situation. Before propofol injection for induction of anesthesia, we injected 1% lidocaine 50 mg iv for pain relief. Immediately after injection, she showed general seizure-like activity and then tonic-rigid muscle tone, dyspnea with periodic breathing without cyanosis, and clouding of consciousness. The operation was delayed, and she was examined by neurosurgeon and psychiatrist. She was diagnosed as suffering with conversion disorder and she was without brain abnormalities on the magnetic resonance imaging. Her condition improved after anti-depressant medication and supportive psychotherapy. She underwent uneventful knee surgery 40 days later. |
| first_indexed | 2024-12-20T11:29:16Z |
| format | Article |
| id | doaj.art-18c19a9efd96481c81e239235e9c8f30 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-20T11:29:16Z |
| publishDate | 2010-09-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-18c19a9efd96481c81e239235e9c8f302022-12-21T19:42:17ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632010-09-0159321021310.4097/kjae.2010.59.3.2106952Conversion phenomenon during the induction period of general anesthesia -A case report-Jin Seo Kim0Eun Jung Cho1Lee Jin Park2Jin Seok O3Department of Anesthesiology and Pain Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.Department of Anesthesiology and Pain Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.Department of Neuropsychiatry, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.Department of Anesthesiology and Pain Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.Conversion disorder is characterized as psychological symptoms such as somatization and emotional distress, but there is no abnormal electrical signal in the brain. We report a patient who appeared conversion disorder during the induction period of general anesthesia. A 45-year-old woman was planned for arthroscopic knee meniscectomy. In the operating room, she appeared stable, but she said extremely nervous in this situation. Before propofol injection for induction of anesthesia, we injected 1% lidocaine 50 mg iv for pain relief. Immediately after injection, she showed general seizure-like activity and then tonic-rigid muscle tone, dyspnea with periodic breathing without cyanosis, and clouding of consciousness. The operation was delayed, and she was examined by neurosurgeon and psychiatrist. She was diagnosed as suffering with conversion disorder and she was without brain abnormalities on the magnetic resonance imaging. Her condition improved after anti-depressant medication and supportive psychotherapy. She underwent uneventful knee surgery 40 days later.http://ekja.org/upload/pdf/kjae-59-210.pdfanesthesiaconversiondistresspsychotherapy |
| spellingShingle | Jin Seo Kim Eun Jung Cho Lee Jin Park Jin Seok O Conversion phenomenon during the induction period of general anesthesia -A case report- Korean Journal of Anesthesiology anesthesia conversion distress psychotherapy |
| title | Conversion phenomenon during the induction period of general anesthesia -A case report- |
| title_full | Conversion phenomenon during the induction period of general anesthesia -A case report- |
| title_fullStr | Conversion phenomenon during the induction period of general anesthesia -A case report- |
| title_full_unstemmed | Conversion phenomenon during the induction period of general anesthesia -A case report- |
| title_short | Conversion phenomenon during the induction period of general anesthesia -A case report- |
| title_sort | conversion phenomenon during the induction period of general anesthesia a case report |
| topic | anesthesia conversion distress psychotherapy |
| url | http://ekja.org/upload/pdf/kjae-59-210.pdf |
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