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Conversion phenomenon following general anesthesia.

D L Orr, A S Glassman

    Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
    |October 1, 1985
    PubMed
    Summary

    Altered consciousness after general anesthesia can occur due to hysterical conversion reactions. This complication requires consideration in psychologically unstable patients when organic causes are ruled out.

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    Area of Science:

    • Anesthesiology
    • Psychiatry
    • Neuroscience

    Background:

    • General anesthesia can rarely lead to prolonged or altered recovery of consciousness.
    • Psychological factors can influence physiological responses to anesthesia.

    Observation:

    • Two cases presented with delayed awakening post-general anesthesia.
    • Patients exhibited symptoms suggestive of hysterical conversion reactions.

    Findings:

    • A previously undescribed complication of general anesthesia is identified: altered consciousness from conversion reactions.
    • A specific diagnostic sign for this condition is described.

    Implications:

    • Anesthesiologists and surgeons must consider conversion reactions in patients with unexplained post-anesthetic altered consciousness.
    • Psychiatric consultation is crucial for managing these cases.
    • This highlights the importance of psychological stability in anesthetic recovery.

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