Undiagnosed atypical absence seizure that accidentally found during staying at post-anesthesia care unit
Journal Title: Scholars Journal of Medical Case Reports - Year 2017, Vol 5, Issue 2
Abstract
Abstract: A 49-year-old man without a specific past medical history underwent tympanoplasty under general anesthesia due to chronic otitis media. After uneventfully awakening from general anesthesia, the patient was delivered to post-anesthesia care unit (PACU). Ten minutes after arrival at the PACU, he became unresponsive to stimulation. Neurological examination revealed lack of awareness, verbal output, and pain response. After 20 minutes, the patient suddenly responded to pain and recovered consciousness. No neurological deficits were found. He was clinically diagnosed with an atypical absence seizure. Unlike grand-mal seizures, it is generally difficult to detect an absence seizure without a careful observation. Through this case report, we want to highlight the importance of careful monitoring of patients in the PACU. If symptoms develop, the patient should be protected from secondary damage due to external impact, treated to maintain spontaneous breathing, and consulted to a neurologist for further evaluations. Keywords: Anesthetics, propofol, sevoflurane; Epilepsy, Absence; Post-anesthesia care.
Authors and Affiliations
Seokhoon Kim, Minki Jung, Kye-Min Kim, Mun Cheol Kim, Sangseok Lee
Keywords
Related Articles
- EP ID EP379448
- DOI -
- Views 56
- Downloads 0
Bilateral Pelvic Kidneys
27years old male patient came to the hospital referred from ultrasound department. The ultrasound reported that there are empty renal fossae. Either ectopic pelvic kidney and absent other one. The patient complaining of...
Compression of the Ulnar Nerve by the Supracondylar Process: About A Case and Reviewed the Literature
The supracondylar process is a congenital anatomical variation. It is a hook-shaped bone spur that does not exceed two centimeters, which develops at the junction of the inner and anterior surfaces of the humerus. The re...
Collision Tumor of Ovary: Invasive Serous Papillary Cystadenocarcinoma and Mature Cystic Teratoma
Collision tumour is defined as coexistence of two dintinct tumours in the same organ without any histological intermixing. Collision tumors involving ovaries are extremely rare. In this paper, we present a case of ovaria...
Atypical Revelation of Sheehan’s Syndrome
Sheehan’s syndrome is a disease of difficult and usually late diagnosis. It occurs as a result of ischemic pituitary necrosis due to severe postpartum hemorrhage. We report an atypical observation showing a disconcerting...
Utility of fundus auto fluorescence imaging in multiple evanescent white dot syndrome with blind spot enlargement
Abstract: We present a case of multiple evanescent white dot syndromes (MEWDS) in a 42-year-old man. The enlarged blind spot was accompanied by no definite abnormal funduscopic findings. However, multiple hyper-auto fluo...