Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to Graves’ Disease-Reference-Cited by-同舟云学术

Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to Graves’ Disease

Published:2012 Issue: Volume:2012 Page:1-3
ISSN:2090-682X
Container-title:Case Reports in Psychiatry
language:en
Short-container-title:Case Reports in Psychiatry

Author:

Saito Takahiro¹,Saito Rie²,Suwa Hiroshi³,Yakushiji Fumiatsu⁴,Takezawa Kenji⁵,Nakamura Mitsuru⁶

Affiliation:

1. Department of Psychiatry, Yokohama Camellia Hospital, 920 Shiranecyo, Asahiku, Kanagawa, Yokohama 241-0003, Japan

2. Department of Psychiatry, Oishi Kinen Hospital, 2-23-1 Nishiaraihoncyo, Adachi, Tokyo 123-0845, Japan

3. Department of Psychiatry, Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital, 4-5-10 Higashiyukigaya, Ota, Tokyo 145-0065, Japan

4. Department of Internal Medicine, Tokyo Metropolitan Bokuto Hospital, 4-23-15 Koutoubashi, Sumida, Tokyo 130-8575, Japan

5. Department of Psychiatry, Matsuzaki Hospital, 67 Sanbongicyomotosanbongi, Aichi, Toyohashi 441-8152, Japan

6. Department of Psychiatry, Tokyo Metropolitan Health and Medical Treatment Corporation Toshima Hospital, 33-1 Sakaecyo, Itabashi, Tokyo 173-0015, Japan

Abstract

We reported a case which presented recurrent episodes of catatonia as a result of Graves’ disease with hyperthyroidism. The patient showed different treatment response in each episodes; in the first episode, psychiatric and physical symptoms were resolved by a combination of antithyroid and anxiolytic therapies, while in the second episode, the combination therapy did not ameliorate her symptoms and ECT was indicated. We postulated that decreased CSF level of TTR and the resulting susceptibility to the derangement of peripheral thyroid function might be involved in this different treatment response.

Publisher

Hindawi Limited

Subject

Psychiatry and Mental health

Link

http://downloads.hindawi.com/journals/crips/2012/868490.pdf

Reference7 articles.

1. Psychoses associated with thyrotoxicosis - 'thyrotoxic psychosis.' A report of 18 cases, with statistical analysis of incidence

2. ECT for the Treatment of Psychiatric Symptoms in Basedow's Disease

3. Disease Biomarkers in Cerebrospinal Fluid of Patients with First-Onset Psychosis

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