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Pain flashbacks in posttraumatic stress disorder

Pain flashbacks in posttraumatic stress disorder

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Title: Pain flashbacks in posttraumatic stress disorder
Author: Salomons, Timothy V.
Osterman, Janet E.
Gagliese, Lucia
Katz, Joel
Abstract: Objectives: Surgical patients who regain consciousness while under general anesthesia may develop symptoms of Posttraumatic Stress Disorder (PTSD). One common PTSD symptom is the experiencing of abnormal perceptions during which the patient feels as if the trauma is recurring. The objective of this report is to document the re-occurrence of pain as part of the PTSD sequelae.

Results: We present two patients who developed PTSD following an episode of awareness under anesthesia. In both cases, posttraumatic sequelae persisted for years and included pain symptoms that resembled, in quality and location, pain experienced during surgery. In addition to their similarity to the original pain, these pain symptoms were triggered by stimuli associated with the traumatic situation, suggesting that they were flashbacks to the episode of awareness under anesthesia.

Discussion: The similarity between the patients' pain symptoms and pain experienced during trauma, the triggering by traumatic cues, and the associated emotional arousal and avoidance suggest the involvement of a somatosensory memory mechanism.
Subject: posttraumatic stress disorder
pain memory
somatosensory memory
awareness under anesthesia
Type: Article
Rights: This is a non-final version of an article published in final form in Clinical Journal of Pain, 20(2), 83-87. (2004)
URI: http://hdl.handle.net/10315/14336
Published: Lippincott, Williams and Wilkins
Citation: Clinical Journal of Pain, 20(2), 83-87. (2004)
Date: 2004

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