Psychogenic Coma: Case Report

  title={Psychogenic Coma: Case Report},
  author={Cynthia L Baxter and William D White},
  journal={The International Journal of Psychiatry in Medicine},
  pages={317 - 322}
  • Cynthia L BaxterW. White
  • Published 1 September 2003
  • Psychology, Medicine
  • The International Journal of Psychiatry in Medicine
Coma is present when the patient appears asleep, is unrousable, and unresponsive. Where no underlying medical condition is found, the role of the psychiatrist may become prominent. We present a clinical case and review the literature on psychogenic coma. According to DSM-IV-TR, psychogenic coma is a dissociative disorder not otherwise specified. Management is largely supportive. Principles include speaking in a reassuring manner and avoiding repeated painful stimuli. Education of family and… 

Psychogenic unresponsiveness.

  • T. Hurwitz
  • Psychology, Medicine
    Neurologic clinics
  • 2011

Catatonic coma with profound bradycardia.

The authors argue that the descriptive term "catatonic coma" is preferable over terms implying psychogenesis, such as "psychogenic" or "hysterical" coma; for catatonia, the authors have a specific treatment, in the form of benzodiazepines; for "psychogenesis," there is none.

Psychogenic coma after general anesthesia with remimazolam and remifentanil -a case report-

An elderly woman was unresponsive after recovery from anesthesia with remimazolam and remifentanil and spontaneously regained consciousness after 48 h without any neurological complications, suggesting the possibility of psychogenic coma for patients with unexplained delay in emergence from anesthesia after the exclusion of other causes.

Functional coma.

Repeated episodes of difficulty with arousal following general anesthesia in a patient with ulnar neuropathy

An otherwise healthy and mentally sound 52-year-old woman is described who experienced repeated dissociative episodes following general anesthesia for minor surgical procedures and resulted in admission to the intensive care unit.

A Clinically Oriented Perspective on Psychogenic Nonepileptic Seizure–Related Emergencies

Increased awareness of PNES is necessary to prevent iatrogenic harm and to identify underlying psychiatric illnesses that carry their own risks, and data available to guide treatment are scant, and further study is needed.

Initial Diagnosis and Management of Coma.

Deficit neurologici non organici

Si definiscono psicogeni i deficit che non possono essere attribuiti ad alterazioni strutturali o a malattie neurochimiche note, ma che possono essere provocati da malattie psichiatriche o da



Pseudoneurologic syndromes: recognition and diagnosis.

Patients with a collection of psychologic disorders that present with neurologic symptoms or signs, yet have no identifiable structural or functional etiology within the nervous system, require compassionate and understanding care to resolve underlying emotional problems.

Psychogenic coma after use of general anesthesia for ethmoidectomy.

Hysteria. A cause of failure to recover after anaesthesia.

A young, healthy 22-year-old female suffering severe dental phobia who was undergoing dental conservation is described, and hysteria as a cause of failure to recover consciousness following general anaesthesia is described.

Faking unconsciousness

The implication that the care provided to critically ill medical ITU patients by anaesthetic trainees may not be optimal does grave injustice to the many dedicated consultant anaesthetists and excellent nurses who are involved in managing these challenging patients.


An unusual case of hysterical postoperative coma

From ASA Meeting: The intubating laryngeal mask; results of a multicentre trial with experience of 500 cases.

Avoiding unnecessary trauma in the differential diagnosis of coma

With reference to the letters in the July issue, I should like to express my support for the views of Dr Cartwright concerning dental anaesthesia, and suggest that 90% of the patients I had been anaesthetising could have been managed without a general anaesthetic.

Recurrent psychogenic coma following tracheal stenosis repair.

It is hypothesized that the patient's apparent comas were the result of an underlying conversion disorder precipitated by unresolved psychological conflict surrounding a long history of abuse in which she was repeatedly smothered by a pillow.

EM guidemaps — Coma . Retrieved July 16 , 2002 from URL