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Post-operative functional neurological symptom disorder after anesthesia.
Ryan S D'Souza1, Matthew N P Vogt1, Edwin H Rho1
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Bosnian Journal of Basic Medical Sciences
|February 20, 2020
Summary
Functional neurological symptom disorder (FNSD) can occur after anesthesia. This study found FNSD often affects females with psychiatric history, appearing only post-operatively.
Area of Science:
- Neurology
- Anesthesiology
- Psychiatry
Background:
- Functional neurological symptom disorder (FNSD) is rare but can manifest post-anesthesia.
- Symptoms are neurological but not explained by medical conditions.
Observation:
- A case series of six patients experiencing FNSD post-general anesthesia.
- Literature search identified 38 additional cases of post-anesthetic FNSD.
Findings:
- Most patients were female (86%) with prior psychiatric history (49%) and FNSD history (53%).
- General anesthesia was common (93%); many underwent diagnostic tests and received pharmacologic therapy.
- Unanticipated hospital (53%) or ICU admission (25%) occurred, though no deaths were reported.
Implications:
- Findings inform anesthesia literature on FNSD presentation, risk factors, and outcomes.
- Anesthetic agents may predispose vulnerable individuals to FNSD symptoms.
- Understanding FNSD post-anesthesia aids in patient management and risk assessment.
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