Dilemma Behind Post-Spinal Tetraplegia: Is Conversion Disorder Really the Culprit?

Authors

  • Farah Nasreen Assistant professor, Department of Anaesthesia and Critical Care,Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
  • Atif Khalid Senior resident, Department of Anaesthesia and Critical Care, JJawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
  • Sobia Manaal Siddiqui Junior resident, Department of Anaesthesia and Critical Care, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
  • Mohd Ahsan Junior resident, Department of Psychiatry, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh,

DOI:

https://doi.org/10.31344/ijhhs.v6i3.468

Keywords:

Conversion disorder, Spinal anaesthesia, Tetraplegia

Abstract

The occurrence of intra-operative conversion disorder with tetraplegia in a patient undergoing emergency appendectomy under spinal anaesthesia has been described in this case report. A 19-year-old female patient was given spinal anaesthesia for an emergency appendectomy. She had a block up to the T10 level as per assessment. Following confirmation of sensory and motor blockade level, the patient became apnoeic and appeared to stop responding abruptly. Her vitals remained constant except for tachycardia. She was taken on bag and mask ventilation and preparation for endotracheal intubation was underway. The patient began to respond again after a few minutes of continual stimulation and bag mask ventilation. Rest of the perioperative period was uneventful. Postoperative psychiatry consultation was done, and she was diagnosed as a case of conversion disorder.

International Journal of Human and Health Sciences Vol. 06 No. 03 July’22 Page: 332-334

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Published

2022-06-13

How to Cite

Nasreen, F., Khalid, A., Siddiqui, S. M., & Ahsan, M. (2022). Dilemma Behind Post-Spinal Tetraplegia: Is Conversion Disorder Really the Culprit?. International Journal of Human and Health Sciences (IJHHS), 6(3), 332–334. https://doi.org/10.31344/ijhhs.v6i3.468

Issue

Section

Case Report