| CASE REPORT |
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| Year : 2008 | Volume
: 5
| Issue : 1 | Page : 18-21 |
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Thyrotoxicosis, epilepsy and psychosis: A rare combination!
TK Aich, F Ahmad, MA Ganie
Department of Endocrinology and Metabolism, Sheri-Kashmir Institute of Medical Sciences, Soura Srinagar J&k, India; Department of Psychiatry, Universal College of Medical Sciences, PB 53,Ranigoan, Bairahawa, Nepal
Correspondence Address:
M A Ganie
Department of Endocrinology and Metabolism, Sheri-Kashmir Institute of Medical Sciences, Soura Srinagar J&k, India; Department of Psychiatry, Universal College of Medical Sciences, PB 53,Ranigoan, Bairahawa, Nepal
 Source of Support: None, Conflict of Interest: None  | Check |
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An adolescent female experienced 9 episodes of brief cyclic illness during a period of 15 months, with most attacks being during menstrual period. Each episode used to last 4 to 8 days presenting with symptoms of acute psychosis. After 2-3 days patient would experience a generalised seizure. Following these acute episodes violent psychotic behaviour would subside; patient would remain alone, aloof and muttered to self. All symptoms would subside by 4 to 8 days and the patient would return to a state of partial normalcy. CT, MRI, EEG, revealed no abnormality. Initial thyroid function tests report was suggestive of thyrotoxicosis. Antithyroid medications for a short period lead to complete state of normalcy. After nine months of follow-up patient is doing well with no further psychosis or seizure attack. |
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