Conversion phenomenon during the induction period of general anesthesia: A case report.
10.4097/kjae.2010.59.3.210
- Author:
Jin Seo KIM
1
;
Eun Jung CHO
;
Lee Jin PARK
;
Jin Seok O
Author Information
1. Department of Anesthesiology and Pain Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea. gkjw2000@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Anesthesia;
Conversion;
Distress;
Psychotherapy
- MeSH:
Anesthesia;
Anesthesia, General;
Brain;
Consciousness;
Conversion Disorder;
Cyanosis;
Dyspnea;
Female;
Humans;
Knee;
Lidocaine;
Magnetic Resonance Imaging;
Middle Aged;
Muscles;
Operating Rooms;
Propofol;
Psychiatry;
Psychotherapy;
Respiration;
Stress, Psychological
- From:Korean Journal of Anesthesiology
2010;59(3):210-213
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
