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全身麻醉苏醒期转换障碍——一例病例报告及文献复习

Conversion disorder upon emergence from general anesthesia-A case report and review of literature.

作者信息

Alshathri Nourah A, Binsaleh Saleh, Al Saadon Abdalrahman, Alkhawajah Nuha M, Eldawlatly Abdelazeem

机构信息

Resident in Anesthesia, King Saud Medical City, Riyadh, Saudi Arabia.

Professor of Urology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Saudi J Anaesth. 2021 Oct-Dec;15(4):441-443. doi: 10.4103/sja.sja_118_21. Epub 2021 Sep 2.

DOI:10.4103/sja.sja_118_21
PMID:34658734
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8477761/
Abstract

Conversion disorder (CD) is a neurological symptom that is not related to any medical or neurological disease. Symptoms can range from sensory complaints to loss of consciousness. Psychological stressors such as surgery and anesthesia are considered a precipitating factors. Early diagnosis is crucial to prevent unnecessary interventions. Here, we report a case of a patient who developed CD upon emergence from general anesthesia.

摘要

转换障碍(CD)是一种与任何医学或神经疾病无关的神经症状。症状范围可从感觉主诉到意识丧失。诸如手术和麻醉等心理应激源被认为是促发因素。早期诊断对于防止不必要的干预至关重要。在此,我们报告一例患者在全身麻醉苏醒后出现转换障碍的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f5/8477761/56063d9ff925/SJA-15-441-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f5/8477761/3c08170fbefb/SJA-15-441-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f5/8477761/56063d9ff925/SJA-15-441-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f5/8477761/3c08170fbefb/SJA-15-441-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f5/8477761/56063d9ff925/SJA-15-441-g002.jpg

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本文引用的文献

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JA Clin Rep. 2020 Oct 30;6(1):88. doi: 10.1186/s40981-020-00394-9.
2
Charcot in the ICU: functional tetraplegia after surgery.
Pract Neurol. 2020 Dec;20(6):476-478. doi: 10.1136/practneurol-2020-002601. Epub 2020 Jun 12.
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Post-operative functional neurological symptom disorder after anesthesia.麻醉后术后功能性神经症状障碍
Bosn J Basic Med Sci. 2020 Aug 3;20(3):381-388. doi: 10.17305/bjbms.2020.4646.
功能性神经症状障碍:围手术期医生面临的持续难题。
Cureus. 2023 Jul 17;15(7):e42011. doi: 10.7759/cureus.42011. eCollection 2023 Jul.
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Rare Mental Health Disorders Affecting Urologic Care: A Comprehensive Review.影响泌尿外科护理的罕见精神健康障碍:全面综述
Health Psychol Res. 2022 Oct 7;10(4):38674. doi: 10.52965/001c.38674. eCollection 2022.
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Postoperative myoclonic movement following mandibular cyst enucleation under general anesthesia: A case report.全身麻醉下下颌囊肿摘除术后的肌阵挛运动:一例报告。
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Saudi J Anaesth. 2022 Apr-Jun;16(2):246-248. doi: 10.4103/sja.sja_848_21. Epub 2022 Mar 17.
7
Conversion disorder: A mysterious event following general anesthesia.转换障碍:全身麻醉后的一个神秘事件。
Saudi J Anaesth. 2021 Oct-Dec;15(4):375-376. doi: 10.4103/sja.sja_139_21. Epub 2021 Sep 2.
4
Conversion Disorder: The Brain's Way of Dealing with Psychological Conflicts. Case Report of a Patient with Non-epileptic Seizures.转换障碍:大脑处理心理冲突的方式。一例非癫痫性发作患者的病例报告。
Cureus. 2019 Jan 16;11(1):e3902. doi: 10.7759/cureus.3902.
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[When a patient falls (asleep) and can't get up: conversion disorder - paraplegia following general anesthesia].[当患者跌倒(入睡)且无法起身时:转换障碍——全身麻醉后截瘫]
Rev Bras Anestesiol. 2017 Nov-Dec;67(6):644-646. doi: 10.1016/j.bjan.2014.10.008. Epub 2016 Sep 19.
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The prognosis of functional (psychogenic) motor symptoms: a systematic review.功能性(心因性)运动症状的预后:系统评价。
J Neurol Neurosurg Psychiatry. 2014 Feb;85(2):220-6. doi: 10.1136/jnnp-2013-305321. Epub 2013 Sep 12.
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Korean J Anesthesiol. 2010 Sep;59(3):210-3. doi: 10.4097/kjae.2010.59.3.210. Epub 2010 Sep 20.
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