Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
Korean J Anesthesiol. 2023 Aug;76(4):383-388. doi: 10.4097/kja.23034. Epub 2023 Mar 14.
Delayed emergence after general anesthesia may significantly affect a patient's condition. We present the case of a patient who experienced prolonged delayed recovery of consciousness, language, and motor response due to catatonia after eight hours of total elbow arthroplasty under general anesthesia.
A 68-year-old woman with neuropsychiatric disorders and Parkinson's disease did not respond adequately during recovery after more than eight hours of general anesthesia. Following the operation, the patient was semi-comatose and appeared to have nonconvulsive status epilepticus upon awakening from anesthesia. However, subsequent examinations did not reveal any organic causes. The patient was subsequently diagnosed with catatonia, treated, and discharged following gradual improvement.
Although rare, patients taking psychiatric drugs for an extended period may experience delayed emergence after prolonged general anesthesia without identifiable causes. Catatonia should be considered in the differential diagnoses of these patients.
全身麻醉后苏醒延迟可能会显著影响患者的病情。我们报告了一例患者，该患者在全身麻醉下进行了 8 小时的全肘人工关节置换术后，由于紧张症出现了意识、语言和运动反应的长时间延迟恢复。
一名 68 岁的女性患有神经精神疾病和帕金森病，在全身麻醉后 8 个多小时的恢复过程中反应不佳。手术后，患者处于半昏迷状态，从麻醉中醒来时表现出非惊厥性癫痫持续状态。然而，随后的检查并未发现任何器质性原因。患者随后被诊断为紧张症，经过治疗后逐渐好转出院。
尽管罕见，但长期服用精神药物的患者在没有明确原因的情况下，可能会在长时间全身麻醉后出现苏醒延迟。对于这些患者，应考虑紧张症的鉴别诊断。
