Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to Graves’ Disease
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 anxiolyt...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2012/868490 |
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| author | Takahiro Saito Rie Saito Hiroshi Suwa Fumiatsu Yakushiji Kenji Takezawa Mitsuru Nakamura |
| author_facet | Takahiro Saito Rie Saito Hiroshi Suwa Fumiatsu Yakushiji Kenji Takezawa Mitsuru Nakamura |
| author_sort | Takahiro Saito |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-018dd26325a34353b160dceb4f2d67cc |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-018dd26325a34353b160dceb4f2d67cc2025-02-03T01:10:52ZengWileyCase Reports in Psychiatry2090-682X2090-68382012-01-01201210.1155/2012/868490868490Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to Graves’ DiseaseTakahiro Saito0Rie Saito1Hiroshi Suwa2Fumiatsu Yakushiji3Kenji Takezawa4Mitsuru Nakamura5Department of Psychiatry, Yokohama Camellia Hospital, 920 Shiranecyo, Asahiku, Kanagawa, Yokohama 241-0003, JapanDepartment of Psychiatry, Oishi Kinen Hospital, 2-23-1 Nishiaraihoncyo, Adachi, Tokyo 123-0845, JapanDepartment of Psychiatry, Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital, 4-5-10 Higashiyukigaya, Ota, Tokyo 145-0065, JapanDepartment of Internal Medicine, Tokyo Metropolitan Bokuto Hospital, 4-23-15 Koutoubashi, Sumida, Tokyo 130-8575, JapanDepartment of Psychiatry, Matsuzaki Hospital, 67 Sanbongicyomotosanbongi, Aichi, Toyohashi 441-8152, JapanDepartment of Psychiatry, Tokyo Metropolitan Health and Medical Treatment Corporation Toshima Hospital, 33-1 Sakaecyo, Itabashi, Tokyo 173-0015, JapanWe 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.http://dx.doi.org/10.1155/2012/868490 |
| spellingShingle | Takahiro Saito Rie Saito Hiroshi Suwa Fumiatsu Yakushiji Kenji Takezawa Mitsuru Nakamura Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to Graves’ Disease Case Reports in Psychiatry |
| title | Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to Graves’ Disease |
| title_full | Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to Graves’ Disease |
| title_fullStr | Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to Graves’ Disease |
| title_full_unstemmed | Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to Graves’ Disease |
| title_short | Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to Graves’ Disease |
| title_sort | differences in the treatment response to antithyroid drugs versus electroconvulsive therapy in a case of recurrent catatonia due to graves disease |
| url | http://dx.doi.org/10.1155/2012/868490 |
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