Author/Authors :
Urias-Uribe, Lilibet Endocrinology Service - Hospital de Especialidades - Centro M ́edico Nacional Siglo XXI - Instituto Mexicano del Seguro Social - Ciudad de M ́exico, Mexico , Valdez-Solis, Emmanuel Endocrinology Service - Hospital de Especialidades - Centro M ́edico Nacional Siglo XXI - Instituto Mexicano del Seguro Social - Ciudad de M ́exico, Mexico , González-Milán, Claudia Endocrinology Service - Hospital de Especialidades - Centro M ́edico Nacional Siglo XXI - Instituto Mexicano del Seguro Social - Ciudad de M ́exico, Mexico , Ramírez-Rentería, Claudia Experimental Endocrinology Investigation Unit - Hospital de Especialidades - Centro M ́edico Nacional Siglo XXI - InstitutoMexicanodelSeguroSocial - CiudaddeM ́exico, Mexico , Ferreira-Hermosillo, Aldo Experimental Endocrinology Investigation Unit - Hospital de Especialidades - Centro M ́edico Nacional Siglo XXI - InstitutoMexicanodelSeguroSocial - CiudaddeM ́exico, Mexico
Abstract :
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 withHashimoto’s encephalopathy, especially in the presence of anti-thyroid antibodies in cerebrospinal fluid. The treatment consistsin 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.
