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Psychogenic coma after dental surgery under general anaesthesia
1Discipline of Oral and Maxillofacial Surgery, Ng Teng Fong General Hospital (National University Health System), Singapore.
International Journal of Oral and Maxillofacial Surgery
|July 19, 2018
Summary
Psychogenic coma, a rare complication of general anesthesia, can cause delayed awakening. Early diagnosis and counseling for at-risk patients are crucial for effective management in oral surgery.
Area of Science:
- Anesthesiology
- Psychiatry
- Oral and Maxillofacial Surgery
Background:
- Delayed awakening after general anesthesia is uncommon.
- Psychogenic coma is a rare cause of prolonged unconsciousness.
- Oral and maxillofacial surgeons may encounter this phenomenon.
Observation:
- A case of psychogenic coma occurred after general anesthesia for dental extractions.
- The patient experienced delayed awakening.
- This highlights a rare but significant complication.
Findings:
- Psychogenic coma can manifest following routine procedures like dental extractions.
- Conversion disorder is a potential underlying condition.
- Recognition is key for appropriate patient care.
Implications:
- Patients with a history of conversion disorder require careful pre-operative counseling.
- Awareness among oral and maxillofacial surgeons is essential for prompt diagnosis.
- Early identification improves patient outcomes and management strategies.
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