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Steroid-induced psychosis responsive to risperidone: report of one case

Published online by Cambridge University Press:  16 April 2020

A. Milanlioglu
Affiliation:
Clinic of Neurology, Bitlis State Hospital, Bitlis, Erzurum, Turkey
M. Gulec
Affiliation:
Department of Psychiatry, Ataturk University, Faculty of Medicine, Erzurum, Turkey

Abstract

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Introduction

Steroids have been used effectively for many years to treat a wide variety of both acute and chronic medical conditions. Despite of some well known side effects, the association of psychiatric disturbances with the use of these drugs has not been well established and documented.

Objectives

We aimed to describe the case of a 46-year-old man with a recent diagnosis of optic neuritis that has psychotic symptoms appear to be induced by methylprednisolone.

Methods

The results will be discussed.

Results

Psychiatric symptoms emerged after the first dose of methylprednisolone and diagnosis of steroid-induced psychosis was made. After discontinuation of steroid therapy, psychiatric symptoms did not improve. But after four weeks of risperidone, he recovered completely. This case adds to small but progressive body of evidence supporting the incidence of steroid-induced psychiatric symptoms in patients with optic neuritis.

Conclusions

We suggest that the prevalence of this phenomenon might be considerably higher than has been reported in the current literature.

Type
P03-90
Copyright
Copyright © European Psychiatric Association 2011
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