Hysteria

Adams, A. P.; Goroszeniuk, T

doi:10.1111/j.1365-2044.1991.tb09850.x

Cited by 28 publications

(5 citation statements)

References 4 publications

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“…Interestingly, the presentation of these mentioned cases had a variety of presentations, and the duration of recovery was also varied. Though the risk factors, age between 10 and 35 years of age and female gender are present in our case, her lack of similar history in the past, good educational background with school level education, and good socioeconomic status make this diagnosis unlikely 3,4,7 …”

Section: Discussionmentioning

confidence: 75%

“…Most cases of conversion disorder have been linked to general anesthesia 3,4 . The cases are not only limited to general anesthesia but also present in regional anesthesia, as mentioned in a literature review by Kwok.…”

Section: Discussionmentioning

confidence: 99%

“…Most cases of conversion disorder have been linked to general anesthesia. 3 , 4 The cases are not only limited to general anesthesia but also present in regional anesthesia, as mentioned in a literature review by Kwok. In many of these cases, patients had no history of psychological or psychiatric disorders previously, and they were diagnosed as a case of conversion disorder after ruling out the possible cause of aphonia.…”

Section: Discussionmentioning

confidence: 99%

“…Though the risk factors, age between 10 and 35 years of age and female gender are present in our case, her lack of similar history in the past, good educational background with school level education, and good socioeconomic status make this diagnosis unlikely. 3 , 4 , 7 …”

Section: Discussionmentioning

confidence: 99%

“…Aphonia is one of the rare neurological complications of spinal anesthesia. In the general population, it is commonly seen among females of age group 10 to 35 years of age with increased risk in women with poor educational background and low socioeconomic status 3,4 . Various etiologies and mechanisms have been proposed to define the cause of neurological complication; however, clear mechanism of many of them have not been identified yet.…”

Section: Introductionmentioning

confidence: 99%

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Transient aphonia following spinal anesthesia during emergency cesarean section: Case report and review of literature

Adhikari,

Ghimire,

Adhikari

et al. 2023

Clinical Case Reports

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Key Clinical MessageSubarachnoid block with local anesthetic agents is a well‐established anesthesia technique among pregnant females for labor analgesia and cesarian delivery. Although it is considered a reliable and safe technique for both mothers and fetuses, unexpected high or low levels of block may occur due to accidental injection of these agents into different meningeal spaces other than intended. Hypotension, bradycardia, headache, and failed anesthesia are common complications of spinal anesthesia. Though rare, neurological complications like aphonia, dysphagia, and tingling sensation have also been reported. The article reports a case of a 22‐year‐old primigravida who sustained transient aphonia following intrathecal administration of bupivacaine for an emergency cesarian section for meconium‐stained liquor with fetal distress. There were no other neurological manifestations or features suggestive of high spinal block. The sensory level of the block was fixed to T6 with hemodynamic stability throughout aphasia with an episode of hypotension preceding aphonia. Aphonia commenced 9 min after the spinal anesthesia continued for a total duration of 15 min. Neurological examination, relevant investigations, and consultations were done to make a diagnosis. Thus, it is important to be aware of the possible neurological complications associated with spinal anesthesia.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Transient aphonia following spinal anesthesia during emergency cesarean section: Case report and review of literature

Adhikari,

Ghimire,

Adhikari

et al. 2023

Clinical Case Reports

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Recurrent Psychogenic Coma Following Tracheal Stenosis Repair

Meyers¹,

Jafek²,

Meyers³

1999

Arch Otolaryngol Head Neck Surg

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Medication, intracranial hemorrhage, infarction, infection, hypoxia, organ failure, and nutritional deficiency may cause unconsciousness following successful emergence from anesthesia. A 39-year-old woman with a history of tracheal stenosis, depression, and anxiety had complete unconsciousness on 3 separate occasions following surgical repair of her tracheal stenosis. In each case, the patient's endotracheal tube had been removed; she was alert and oriented to person, time, and place; and she was admitted to the hospital for observation. Within a few hours after the tube was removed, the patient became abruptly unconscious for periods of 36, 18, and 30 hours. Each time, the results of cardiac, pulmonary, metabolic, and neurologic examinations and radiological studies were normal. We hypothesize that the patient's apparent comas were the result of an underlying conversion disorder precipitated by unresolved psychological conflict surrounding a long history of abuse in which she was repeatedly smothered by a pillow.

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