Soonchunhyang Med Sci.  2017 Dec;23(2):146-148. 10.0000/sms.2017.23.2.146.

Postoperative Psychogenic Non-epileptic Seizure in the Post-Anesthesia Recovery Unit

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. lenael5719@gmail.com

Abstract

A 43-year-old woman with left facial pain caused by occipital neuralgia was scheduled for C2 ganglionotomy and adhesiolysis of left C2 root. General anesthesia, surgical procedure, and emergence have done uneventfully. However, she developed seizure after 5 minutes postoperatively in post-anesthesia recovery unit. She showed loss of consciousness and generalized muscular rigidity after shouting "I want to die". Neurologic examination and neuroimaging revealed no neuronal damage. Her generalized muscular rigidity improved by her daughter's visit and worsened by mention about her husband, and disappeared after 40 minutes spontaneously.

Keyword

Postoperative; Psychogenic; Seizures

MeSH Terms

Adult
Anesthesia, General
Facial Pain
Female
Humans
Muscle Rigidity
Neuralgia
Neuroimaging
Neurologic Examination
Neurons
Seizures*
Spouses
Unconsciousness
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