Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28567321
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Case+Rep+Psychiatry
2017 ; 2017
(ä): 5082687
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Neuropsychiatric Manifestations in a Patient with Panhypopituitarism
#MMPMID28567321
Jegede O
; Jeyakumar A
; Balakumar T
; Raghu A
; Chang KI
; Soewono K
; Gustave M
; Jolayemi A
Case Rep Psychiatry
2017[]; 2017
(ä): 5082687
PMID28567321
show ga
We present a case of an incidental diagnosis of panhypopituitarism in a
68-year-old African American man admitted to our psychiatric inpatient unit with
symptoms suggestive of schizophrenia. The case was unusual as a first-episode
psychosis given the patient's age. In the course of his admission, the patient's
clinical condition deteriorated culminating in a sudden altered mental status
which prompted a transfer to the medical floors and further investigations. A
head CT scan and a pituitary MRI revealed a near total resection of the pituitary
while laboratory investigations revealed hyponatremia and a grossly low hormone
profile. The progression of these events casts doubts on our admitting diagnosis
as the primary cause of the patient's symptoms. The patient's clinical condition
improved only when his endocrinopathy was treated with hormone replacement,
fluids, and electrolyte correction in addition to antipsychotics. An inability to
verify the patient's psychiatric history and a remote history of pituitary
resection several decades earlier, unknown to the treating team, added to the
diagnostic conundrum. We revised the diagnosis to neuropsychiatric manifestations
secondary to an organic brain syndrome due to a partial pituitary resection. The
patient was discharged with no symptoms of psychosis, good insight, judgment, and
good reality testing.