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Psychosis Crisis Associated with Thyrotoxicosis due to Graves Disease #MMPMID28695035
Urias-Uribe L; Valdez-Solis E; González-Milán C; Ramírez-Rentería C; Ferreira-Hermosillo A
Case Rep Psychiatry 2017[]; 2017 (ä): ä PMID28695035show ga
We present the case of a patient with previous psychiatric illness, acutely exacerbated by thyroid storm due to Graves' disease, in whom treatment with antipsychotics induced catatonia. These associations are extremely rare and may be confused with Hashimoto's encephalopathy, especially in the presence of anti-thyroid antibodies in cerebrospinal fluid. The treatment consists in the control of the triggering disease (in this case the resolution of the thyrotoxicosis) and the use of benzodiazepines. However, in some cases, the resolution of psychiatric symptoms is partial and may require the use of electroconvulsive therapy.