A Case of Psychogenic Non-Epileptic Seizure after Awakening from General Anesthesia：A Case Report

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  • NAGAMATSU Kanako
    Department of Anesthesiology, Kokura Medical Center
  • CHO Sungsam
    Department of Anesthesiology, Kokura Medical Center
  • SHIROZU Kazuhiro
    Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital
  • YAMAURA Ken
    Department of Anesthesiology and Critical Care Medicine, Kyushu University

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  • 全身麻酔覚醒後に心因性非てんかん発作を生じた1例

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<p>We experienced a case of psychogenic non-epileptic seizure（PNES）after awakening from general anesthesia. The patient was a 34-year-old woman. Two hours after returning to the room from an orthopedic surgery under general anesthesia, she developed generalized seizures. Diazepam was administered, and 20 minutes later the convulsions subsided, but she continued to have upper body dominant convulsions for 1 to 3 minutes. There were no neurological abnormalities other than convulsions, and no abnormalities on head imaging examination.</p><p>An electroencephalogram（EEG）examination revealed no epileptic waves during the seizures, and the EEG was always awake, leading to the diagnosis of PNES. When seizures are observed, it is necessary to carefully diagnose and treat them by searching for the cause in parallel with the treatment, and if treatment-resistant seizures persist, PNES should be considered.</p>

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