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Related Experiment Videos

Unexpected neurologic deficit following spinal anesthesia

A K Chhibber1, S J Lustik

  • 1Department of Anesthesiology, University of Rochester Medical Center, Strong Memorial Hospital, NY 14642, USA.

Regional Anesthesia
|July 1, 1996
PubMed
Summary

A patient developed unexplained left leg paralysis after spinal anesthesia. Diagnosis revealed a conversion disorder, a rare psychiatric cause of neurologic deficit, resolving with psychological intervention.

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Area of Science:

  • Anesthesiology
  • Neurology
  • Psychiatry

Background:

  • Reports a rare case of neurologic deficit following successful spinal anesthesia.
  • Highlights the importance of comprehensive investigation for post-anesthetic complications.

Observation:

  • A 45-year-old woman experienced sudden left lower extremity motor loss 11 hours post-spinal block.
  • Neurologic examination showed unilateral deficits; spinal MRI was normal.

Findings:

  • The patient was diagnosed with a conversion disorder, a functional neurologic symptom disorder.
  • Recovery occurred within two weeks following psychological intervention.

Implications:

  • Suggests psychiatric disorders can manifest as neurologic deficits after regional anesthesia.
  • Emphasizes the need for psychiatric consultation in unexplained post-anesthetic neurologic symptoms.

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