Dissociative amnesia after general anesthesia--a case report.
Psychogenic unconsciousness is a rare cause of failure of prompt recovery from general anesthesia. The diagnosis is only made by exclusion of other conditions. We describe a young, healthy female who failed to wake up promptly after total intravenous anesthesia with alfentanil and propofol. She regained consciousness 24 hours later without any specific treatment. However she sustained amnesia for a period of 48 hours. Dissociative disorder was diagnosed after an extensive workup. This case report emphasizes the importance of inclusion of psychiatric disorder in the differential diagnosis should unexplainable delayed emergence from general anesthesia occur.
Chang
Yi
Y
Department of Anesthesiology, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wenchang Rd., Taipei 111, Taiwan, R.O.C.
Huang
Chi-Hsiang
CH
Wen
Yeong-Ray
YR
Chen
Jui-Yuan
JY
Wu
Gong-Jhe
GJ
D000328:Adult; D000647:Amnesia / Q000175:diagnosis / Q000209:etiology*; D000762:Anesthesia Recovery Period; D000768:Anesthesia, General / Q000009:adverse effects*; D018686:Anesthetics, Intravenous; D003937:Diagnosis, Differential; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D015742:Propofol
D018686:Anesthetics, Intravenous; D015742:Propofol