Psychogenic Coma: Case Report

Baxter, Cynthia; White, William D.

doi:10.2190/yvp4-3gtc-0ewk-42e8

Cited by 13 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Alors que le recours à des médicaments anxiolytiques peut être envisagé de façon ponctuelle au début pour diminuer la composante anxieuse chez ces patients [9]. Alors que certains auteurs ont proposé l'électroconvulsivothérapie comme ultime recours devant des tableaux conversifs résis-tants [10].…”

Section: Discussionunclassified

Le pseudo-coma hystérique : à propos d’un cas clinique

Chouaib

Belyamani

et al. 2015

L'Encéphale

View full text Add to dashboard Cite

Section: Discussionunclassified

Le pseudo-coma hystérique : à propos d’un cas clinique

Chouaib

Belyamani

et al. 2015

L'Encéphale

View full text Add to dashboard Cite

“…Protective refl exes, such as dropping the arm towards the patient's face, are often intact [4,6,7,11,12], but in our patient this did not appear to be the case. In confi rmed cases of psychogenic coma, supportive care and reassurance are recommended [9]. Repeating noxious stimuli is not humane and is not advocated [9].…”

Section: Discussionmentioning

confidence: 99%

“…In confi rmed cases of psychogenic coma, supportive care and reassurance are recommended [9]. Repeating noxious stimuli is not humane and is not advocated [9]. Cases have been reversed with the administration of benzodiazepines or antipsychotics and this could be considered in recalcitrant cases [7,9,13,15].…”

Section: Discussionmentioning

confidence: 99%

“…However, there are rare situations in which delayed emergence from anesthesia may be the result of psychogenic factors ("psychogenic coma"); namely, factitious, conversion, and dissociative disorders [3][4][5][6][7][8][9]. Because psychogenic coma is a diagnosis of exclusion, patients undergo an extensive work-up to identify potentially lifethreatening conditions.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Repeated episodes of difficulty with arousal following general anesthesia in a patient with ulnar neuropathy

et al. 2009

View full text Add to dashboard Cite

Delayed emergence following general anesthesia may be due to serious life-threatening disorders and deserves prompt evaluation. Rarely, delayed emergence has been attributed to a psychiatric or psychological cause. This report describes an otherwise healthy and mentally sound 52-year-old woman who experienced repeated dissociative episodes following general anesthesia for minor surgical procedures. These episodes lasted for 5 h and resulted in admission to the intensive care unit. The current literature is reviewed to identify commonalities among previously reported cases and to discuss different psychiatric and psychological mechanisms that can play a role in the development of this disorder.

show abstract

“…There have been several reports of conversion disorder in the obstetrics and anesthesiology literature following various types of procedures. [49][50][51][52] This highlights a risk of invasive procedures that is often not considered.…”

Section: Ambulatory Practice and Postprocedures Pnesmentioning

confidence: 99%

A Clinically Oriented Perspective on Psychogenic Nonepileptic Seizure–Related Emergencies

et al. 2015

View full text Add to dashboard Cite

Psychogenic nonepileptic seizures (PNES) can present emergently and are often mistaken for epileptic seizures. PNES emergencies have not been well studied, and yet there are associated serious morbidities, particularly when patients are seen in an emergency setting and are misdiagnosed. PNES may be prolonged, mimicking status epilepticus, a condition we refer to as nonepileptic psychogenic status (NEPS), and patients may receive aggressive and unnecessary medical treatments that can lead to serious iatrogenic complications, including death. NEPS is also associated with an increased risk of self-harm, including suicide attempts, and may indicate a serious comorbid psychiatric illness. In addition to iatrogenic complications of PNES, accidents and injuries are an underrecognized source of morbidity. PNES may also present during medical procedures, which may not only interfere with their completion, but may alarm practitioners who, fearing liability, may initiate further medical evaluations and treatments. When PNES occur during pregnancy, patients may be misdiagnosed with eclampsia and their offspring delivered prematurely. They also risk being placed on medications that are harmful to the fetus. Increased awareness of PNES is necessary to prevent iatrogenic harm and to identify underlying psychiatric illnesses that carry their own risks. As yet, data available to guide treatment are scant, and further study is needed.

show abstract

Psychogenic Coma: Case Report

Cited by 13 publications

References 9 publications

Le pseudo-coma hystérique : à propos d’un cas clinique

Le pseudo-coma hystérique : à propos d’un cas clinique

Repeated episodes of difficulty with arousal following general anesthesia in a patient with ulnar neuropathy

A Clinically Oriented Perspective on Psychogenic Nonepileptic Seizure–Related Emergencies

Contact Info

Product

Resources

About