One case of repeated episodes of shaking head after general anesthesia of plastic surgery
10.3760/cma.j.issn.1009-4598.2020.02.016
- VernacularTitle:全身麻醉整形外科手术后反复发作性摇头一例
- Author:
Jie AN
1
;
Junxia ZHAO
;
Xiaoming DENG
;
Wanlu ZHANG
;
Dong YANG
Author Information
1. 中国医学科学院北京协和医学院整形外科医院麻醉科 100144
- Keywords:
General anesthesia;
Plastic surgery;
Epilepsy;
Hysteria;
Paroxysmal head shaking
- From:
Chinese Journal of Plastic Surgery
2020;36(2):202-204
- CountryChina
- Language:Chinese
-
Abstract:
A 49-year-old patient with breast atrophy and abdominal fat accumulation was admitted in the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences on January 29, 2018. The patient turned her entire head quickly to the left and to the right each 90 degree without any obvious predisposing factor after general anesthesia. Each episode lasted 3 to 10 seconds and wasn’t associated with limbs and facial tissue twitch. She was consciousness clear after the onset without other obvious discomfort. Intravenous administration of sedative and analgesic drugs could not improve patient’s situation significantly, followed by psychological supporting treatment. The patient returned to normal about 3 hours after onset without giving any other special therapy. Except postoperative agitation, psychiatric disorders and the related histories of medication, the possible inducing factors include but not limited to epilepsy and hysteria. The etiology, pathogenesis, diagnosis and treatment of this case need further discussion. However, it is important that it gives clinical medical staff good suggestion which they should conduct a comprehensive analysis on the treatment of clinical problems, not only attach importance to organic lesion, but also pay attention to the psychological and mental factors of the patients. It will provide guidance for taking appropriate drugs and psychotherapy in order to achieve the best therapeutic effects.
