title: [Unexplained neurological dysfunction in the recovery room].
abstract: BACKGROUND
  Unexplained neurological dysfunction, which used to be known as conversion disorder, is rare following general anaesthesia. This phenomenon is difficult to identify in this situation because medically induced dysfunction (anaesthesia) turns into unexplained dysfunction.
  
  
  METHODS
  A 58-year-old man remained unresponsive to any stimuli for longer than expected following uncomplicated surgery under general anaesthesia, although his vital functions were normal. It was 2 hours after the operation before a slight eyelid response was shown. He then lay motionless in bed for several hours. Complete recovery of spontaneous movement and motor functions took 12 hours. No explanation was found.
  
  
  CONCLUSIONS
  Unexplained neurological dysfunction can also occur following general anaesthesia. The diagnosis is made by neurological assessment. A wait-and-see approach is the management policy because the neurological dysfunction disappears spontaneously.
authors: Medisch Centrum Haaglanden, Den Haag.
authors: Johan S
authors: JS
authors: Pöll
authors: Elles G
authors: EG
authors: Berger-Plantinga
authors: Sietske F
authors: SF
authors: Meinesz
mesh_terms: D000762:Anesthesia Recovery Period; D000768:Anesthesia, General / Q000009:adverse effects*; D003291:Conversion Disorder; D006801:Humans; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000139:chemically induced* / Q000175:diagnosis; D009460:Neurologic Examination; D011997:Recovery Room; D057832:Watchful Waiting