Charcot in the ICU: functional tetraplegia after surgery, 2020, Scheitler et al

Andy · Jun 14, 2020

Functional neurological disorder is a condition in which a patient has physical findings that are not compatible with anatomical boundaries, have no structural substrate and are not representable of an established disease. General anaesthesia and surgery have been previously reported as precipitating factors for functional disorders and mostly involve dissociative (non-epileptic) seizures.

We report a patient with no psychiatric history or prior abnormal examination who developed sudden-onset functional tetraplegia and sensory disturbances immediately after elective surgery, and who was subsequently discharged home several days later after nearly complete resolution of neurologic deficits. We highlight the features of this syndrome, including its unique postoperative presentation, unusual resolution and absence of any identifiable psycho-dynamic mechanism. We also introduce the tripod sign as a useful clinical tool in identifying functional tetraplegia.
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Paywall, https://pn.bmj.com/content/early/2020/06/11/practneurol-2020-002601
Sci hub, https://sci-hub.tw/10.1136/practneurol-2020-002601

Mithriel · Jun 14, 2020

unicorn7 · Jun 14, 2020

Omygod, this is just bizarre. We don't even really know how general anesthesia works, but of course a rare side effect in a person must be psychosomatic

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Charcot in the ICU: functional tetraplegia after surgery, 2020, Scheitler et al

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Charcot in the ICU: functional tetraplegia after surgery, 2020, Scheitler et al

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Mithriel Senior Member (Voting Rights)

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