Cotard's syndrome in the postoperative period following head and neck cancer surgery – A case report
Nitish Thakur1, Mahima Gupta2, Raghav Gupta1, Seema Mishra1
1 Department of Onco-Anaesthesiology and Palliative Medicine, AIIMS, Ansari Nagar, New Delhi, India
2 Department of Anaesthesiology, Pain and Critical care, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India
Major head and neck surgery is a known factor for postoperative delirium; however, Cotard's syndrome (CS) has been rarely reported following head and neck surgery. We report a case of a 51-year-old man who underwent surgery for carcinoma right buccal mucosa and developed agitation and nihilistic delusion after extubation. The patient had a preexisting psychiatric history which is often reported as a risk factor for CS. Of interest, though is that this condition subsided as quickly as it emerged with only supportive counselling and brief pharmacotherapy.
Department of Onco-Anaesthesiology and Palliative Medicine, AIIMS, Ansari Nagar, New Delhi
Source of Support: None, Conflict of Interest: None