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Postoperative conversion disorder in a pediatric patient.

Amy Judge¹, Fred Spielman

¹Department of Anesthesiology, University of North Carolina, Chapel Hill, NC 27599-7010, USA. amy.judge@yahoo.com

Paediatric Anaesthesia

|October 1, 2010

Summary

A rare conversion disorder case occurred in a 16-year-old girl post-anesthesia. This severe postoperative presentation highlights the need for awareness of psychological distress manifesting physically after medical procedures.

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Area of Science:

Psychiatry
Neurology
Anesthesiology

Background:

Conversion disorder, a somatoform illness, involves loss of physical function due to psychological distress.
Previously termed hysteria, it is rare, affecting 11-300 per 100,000 people.
Post-anesthetic conversion disorder is exceptionally rare, with fewer than 20 documented cases.

Observation:

A previously healthy 16-year-old female developed severe symptoms upon emergence from general anesthesia.
The patient underwent direct laryngoscopy with vocal fold injection.
This case represents a significant deviation from previously reported mild instances in young patients.

Findings:

The patient exhibited a severe manifestation of conversion disorder.
This occurred subsequent to general anesthesia and a specific surgical procedure.
The case is notable for its severity in an adolescent patient.

Implications:

This case underscores the potential for severe conversion disorder post-anesthesia, even in adolescents.
It highlights the importance of considering psychological factors in unexplained postoperative neurological deficits.
Further research into the neurobiological underpinnings and management of post-anesthetic conversion disorder is warranted.