Conversion disorder upon emergence from general anesthesia—A case report and review of literature

Abstract

Conversion disorder (CD) is a neurological symptom that is not related to any medical or neurological disease. Symptoms can range from sensory complaints to loss of consciousness. Psychological stressors such as surgery and anesthesia are considered a precipitating factors. Early diagnosis is crucial to prevent unnecessary interventions. Here, we report a case of a patient who developed CD upon emergence from general anesthesia.

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“…91 However, after the operation, patient exhibited GCS of 3 few hours post-surgery, and after 8 hours post-operation, patient regained consciousness, was alert and oriented with coherent speech, but could not move any of his limbs or feel below the level of the neck. 91 Both CT and MRI imaging of the brain and cervical spine were conducted with no evidence of acute insult; ultimately, the patient regained senses four days post-operatively and fully recovered five weeks later at a neurology follow up visit. Although not directly noted, it was possible that the region of operation may have contributed a link to the CD manifestation.…”

“…In another case report by Alshathri, et al, a patient was diagnosed with CD following an emergence from general anesthesia. 91 The 37-year-old male patient had originally entered for a bilateral microscopic testicular sperm extraction as a case of primary infertility. 91 However, after the operation, patient exhibited GCS of 3 few hours post-surgery, and after 8 hours post-operation, patient regained consciousness, was alert and oriented with coherent speech, but could not move any of his limbs or feel below the level of the neck.…”

“…91 The 37-year-old male patient had originally entered for a bilateral microscopic testicular sperm extraction as a case of primary infertility. 91 However, after the operation, patient exhibited GCS of 3 few hours post-surgery, and after 8 hours post-operation, patient regained consciousness, was alert and oriented with coherent speech, but could not move any of his limbs or feel below the level of the neck. 91 Both CT and MRI imaging of the brain and cervical spine were conducted with no evidence of acute insult; ultimately, the patient regained senses four days post-operatively and fully recovered five weeks later at a neurology follow up visit.…”