TY - JOUR
T1 - Psychogenic Coma after Use of General Anesthesia for Ethmoidectomy
AU - Weber, Joseph G.
AU - Cunnien, Alan J.
AU - Hinni, Michael L.
AU - Caviness, John N.
PY - 1996
Y1 - 1996
N2 - Failure of a patient to awaken promptly after use of general anesthesia may be due to various causes, including medication-related effects, neurologic insults, or metabolic disturbances. Herein we describe a 49year-old woman with a history of depression, for which she was receiving treatment, who did not awaken promptly after use of general anesthesia for ethmoidectomy. Results of neurologic examinations were normal, as were laboratory tests and radiologie studies. Six hours after completion of the operation, the patient spontaneously awakened. We hypothesize that she underwent a transient, self-limited period of dissociation related to unresolved grief due to the recent death of a family member.
AB - Failure of a patient to awaken promptly after use of general anesthesia may be due to various causes, including medication-related effects, neurologic insults, or metabolic disturbances. Herein we describe a 49year-old woman with a history of depression, for which she was receiving treatment, who did not awaken promptly after use of general anesthesia for ethmoidectomy. Results of neurologic examinations were normal, as were laboratory tests and radiologie studies. Six hours after completion of the operation, the patient spontaneously awakened. We hypothesize that she underwent a transient, self-limited period of dissociation related to unresolved grief due to the recent death of a family member.
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U2 - 10.1016/s0025-6196(11)64846-5
DO - 10.1016/s0025-6196(11)64846-5
M3 - Article
C2 - 8691902
AN - SCOPUS:0030317631
SN - 0025-6196
VL - 71
SP - 797
EP - 800
JO - Mayo Clinic Proceedings
JF - Mayo Clinic Proceedings
IS - 8
ER -