We are seeing patients in-person and through Video Visits. Learn more about how we’re keeping you safe and please review our updated visitor policy. Please also consider supporting Weill Cornell Medicine’s efforts to support our front-line workers.
Department of Anesthesiology

You are here

Postoperative hemiparesis due to conversion disorder after moderate sedation: a case report.

TitlePostoperative hemiparesis due to conversion disorder after moderate sedation: a case report.
Publication TypeJournal Article
Year of Publication2020
AuthorsJotwani R, Turnbull ZA
JournalAnaesth Rep
Date Published2020 Jan-Jun

Peri-operative conversion disorder that manifests as postoperative muscle weakness is an uncommon diagnosis made through exclusion of neurological, metabolic or iatrogenic aetiologies. We present a case where a patient with a considerable history of physical and psychological trauma suffered from prolonged right-sided hemiparesis following a breast biopsy under moderate-to-deep sedation. Conversion disorder following moderate-to-deep sedation has yet to be discussed in the literature, as all previous cases have described postoperative conversion disorder in the setting of general or central neuraxial anaesthesia. Our recommendation is for practitioners to keep conversion disorder on the list of differential diagnoses, despite the depth of sedation or type of anaesthetic utilised, and perform the same detailed neurological, metabolic and psychiatric assessment when considering postoperative weakness.

Alternate JournalAnaesth Rep
PubMed ID32166224
PubMed Central IDPMC7056947