ArticleA & A case reports2015
Emergence delirium with transient associative agnosia and expressive aphasia reversed by flumazenil in a pediatric patient.
Article in A & A case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Acute psychogenic mutism following total hip arthroplasty under general anesthesia in an elderly patient: a case report.BMC anesthesiology · 2026Article
- Preoperative frailty tendency predicts delirium occurrence in older people undergoing spinal surgery.BMC geriatrics · 2024Article
- Pediatric Anesthesia Emergence Delirium Scale: A diagnostic meta-analysis.World journal of clinical pediatrics · 2022Article
- Transient aphasia following general anesthesia in patient undergoing laparoscopic gynecologic surgery: A case report and literature review.Clinical case reports · 2021Article
- Recycle: Do It for the Kids.Journal of cardiothoracic and vascular anesthesia · 2020Article
- Postoperative expressive aphasia associated with intravenous midazolam administration: a 5-year retrospective case-control study.The Journal of international medical research · 2020Article
- Escape From Oblivion: Neural Mechanisms of Emergence From General Anesthesia.Anesthesia and analgesia · 2019Review
- Observational
- Risperidone in a child with untractable emergency delirium: a case report.Korean journal of anesthesiology · 2016Article
- Effects of γ-Aminobutyric Acid Type A Receptor Modulation by Flumazenil on Emergence from General Anesthesia.Anesthesiology · 2016Article
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Authors and funding
4 authors.
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Abstract
Multiple factors may contribute to the development of emergence delirium in a child. We present the case of a healthy 12-year-old girl who received preoperative midazolam with the desired anxiolytic effect, underwent a brief general anesthetic, and then exhibited postoperative delirium, consisting of a transient associative agnosia and expressive aphasia. Administration of flumazenil led to immediate and lasting resolution of her symptoms. We hypothesize that γ-aminobutyric acid type A receptor-mediated effects, most likely related to an atypical offset of midazolam, are an important subset of emergence delirium that is amenable to pharmacologic therapy with flumazenil.
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