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Related Experiment Videos

Dissociative amnesia after general anesthesia--a case report.

Yi Chang1, Chi-Hsiang Huang, Yeong-Ray Wen

  • 1Department of Anesthesiology, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wenchang Rd., Taipei 111, Taiwan, R.O.C.

Acta Anaesthesiologica Sinica
|August 27, 2002
PubMed
Summary
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Psychogenic unconsciousness is a rare cause of delayed emergence from general anesthesia. This case highlights the importance of considering psychiatric disorders in unexplained anesthesia recovery.

Area of Science:

  • Anesthesiology
  • Psychiatry

Background:

  • Delayed emergence from general anesthesia can occur due to various factors.
  • Psychogenic unconsciousness is a rare but possible cause, diagnosed by exclusion.

Observation:

  • A young, healthy female experienced delayed emergence after total intravenous anesthesia.
  • She regained consciousness 24 hours post-anesthesia without specific intervention.
  • The patient had a 48-hour period of amnesia.

Findings:

  • Extensive workup led to a diagnosis of dissociative disorder.
  • This psychiatric condition explained the prolonged unresponsiveness post-anesthesia.

Implications:

  • Clinicians should consider psychiatric disorders in the differential diagnosis of delayed anesthesia emergence.

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  • Early recognition can prevent unnecessary investigations and guide appropriate management.