Analgesia epidural en trabajo de parto y trastorno de conversión / Epidural anesthesia in labor and conversion disorder
Rev. esp. anestesiol. reanim
; 56(5): 312-314, mayo 2009. tab
Article
in Es
| IBECS
| ID: ibc-72624
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Una gestante de 37 años acudió al hospital al iniciar eltrabajo de parto. Como antecedentes personales de interésrefería una depresión con un intento autolítico unosaños antes, estando eutímica sin necesidad de tratamientoal ingreso; y un legrado por un aborto. La pacientesolicitó analgesia epidural y horas después de realizar latécnica presentó anestesia en zona dorsal del pie y dificultadpara la flexión dorsal del mismo. Tras descartarpatología orgánica, se consideró el diagnóstico de trastornoconversivo, una enfermedad psiquiátrica de granincidencia pero habitualmente infradiagnosticada y quese caracteriza por uno o más déficit neurológicos quesugieren enfermedad orgánica, que no son intencionadosni fingidos y que no pueden ser achacados a una enfermedadmédica, a los efectos de una sustancia tóxica o aun comportamiento culturalmente normal; causando undeterioro significativo a nivel clínico, social y ocupacional(AU)
ABSTRACT
A 37-year-old woman came to our hospital at thebeginning of labor. She reported a history of depressionwith attempted suicide some years earlier and had alsoundergone dilation and curettage following an abortion;on admission to our hospital, she was euthymic and notreceiving treatment. The patient requested epiduralanalgesia. Several hours later, she reported dorsal footnumbness and difficulty performing dorsal flexion. Afteran organic cause had been ruled out, a diagnosis ofconversion disorder was considered. The incidence ofthis psychiatric disorder is high, though it is usuallyunderdiagnosed. Conversion disorder involves at least 1neurologic symptom suggestive of organic disease.Symptoms are not feigned and cannot be ascribed to amedical disease, the effects of a toxic substance, orculturally normal behavior, yet there is significantclinical, social, and occupational deterioration(AU)
Search on Google
Collection:
06-national
/
ES
Database:
IBECS
Main subject:
Paresthesia
/
Spinal Cord Diseases
/
Peripheral Nervous System Diseases
/
Conversion Disorder
/
Gait Disorders, Neurologic
/
Diagnosis, Differential
/
Foot Diseases
/
Anesthesia, Epidural
/
Anesthesia, Obstetrical
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Adult
/
Female
/
Humans
Language:
Es
Journal:
Rev. esp. anestesiol. reanim
Year:
2009
Document type:
Article