Abstract
Otoimmün hastalıklar başta olmak üzere birçok hastalığın tedavisinde kullanılan kortikosteroidlerin farklı yan etkileri vardır. Psikiyatrik yan etkilerinin patofizyolojisi hala tartışmalı olmakla birlikte bu konuda tespit edilmiş değişik risk etmenleri vardır. Kortikosteroid kullanımı sonrası gelişen mani tablosunun tedavisinde öncelikli olan steroidin kesilmesidir. Tedavide tek başına mizaç dengeleyici kullanılabileceği gibi, nöroleptik/mizaç dengeleyici birlikte de kullanılabilmektedir. Periferik yüz felci geçirmiş olan olgumuzda kortikosteroid kullanımı sonrasında ortaya çıkan psikotik özellikli mani tablosunun risk etmenleri, olanzapin tedavisine yanıtı ve seyri açısından tartışılması amaçlanmıştır.
Keywords
References
- Braunwald E, Fauci A, Kasper D, Hauser S, Longo D, Jameson J. Harrison’s Principle of Internal Medicine 15 th Edition; 2001: 2422-3. Raskin DE. Steroid-induced panic disorder. Am. J. Psychiatry 1984; 141: 1647.
- Charbonneau Y, Ravindran AV. Successful treatment of steroidinduced panic disorder with fluvoxamine. J. Psychiatry Neurosci. 1997;22:346-7.
- Lewis DA, Smith RE. Steroid-induced psychiatric syndromes. A report of 14 cases and a review of the literature. J. Affect. Disord. 1983;5:319-32. Braunig P, Bleistein J, Rao ML. Suicidality and corticosteroidinduced psychosis. Biol. Psychiatry. 1989;26:209-10.
- Finkenbine RD, Frye MD. Case of psychosis due to prednisoneclarithromycin interaction. Gen. Hosp. Psychiatry. 1998;20:325-6. Varney NR. A case of reversible steroid dementia. Arch. Clin. Neuropsychol. 1997;12:167-71.
- Sacks O, Shulman M. Steroid dementia: an overlooked diagnosis? Neurology. 2005;64:707-9.
- Kenna A.H, Poon A.W. Psychiatric complications of treatment with corticosteroids: Review with case report. Psychiatry and Clinical Neurosciences. 2011;65:549-60.
- Naber D, Sand P, Heigl B. Psychopathological and neuropsychological effects of 8-days’ corticosteroid treatment. A prospective study. Psychoneuroendocrinology. 1996;21:25-31.
- Wolkowitz OM, Reus VI, Weingartner H, Thompson K, Breier A, Doran A, Rubinow D, Pickar D. Cognitive effects of corticosteroids. Am. J. Psychiatry. 1990;147:1297-303.
- Hall RC, Popkin MK, Stickney SK, Gardner ER. Presentation of the steroid psychoses. J. Nerv. Ment. Dis. 1979;167:229-36.
- Kartalcı Ş, Eşel E. Psychopharmacologic and behavioral effects of neurosteroids. Bull Clin Psychopharmacol. 2004;14:38-49.
- Sirois F. Steroid psychosis: a review. Gen. Hosp. Psychiatry. 2003;25:27-33.
- Clark LD, Bauer W, Cobb S. Preliminary observations on mental disturbances occurring in patients under therapy with cortisone and ACTH. New England Journal of Medicine. 1952;246:205-16.
- Balıbey H, Yaşar H, Tekeli H. Periferik Yüz Felci Geçirmiş Olan Bir Hastada Kısa Süreli Kortikosteroid Kullanımı Sonrasında Ortaya Çıkan Karma Mani Atağı: Bir Olgu Sunumu. Journal of Mood Disorders. 2012;2:17-20.
Abstract
Corticosteroids, used in the treatment of many illnesses, mainly autoimmune diseases, have various side effects. Although pathophysiology of psychiatric side effects are still controversial, there are different risk factors identified in this regard. Priority in the treatment of corticosteroid induced mania is to cut off steroids. As only mood stabilizer can be used, neuroleptic/mood stabilizer combinations also can be used in the treatment. In our case who had peripheral facial paralysis, corticosteroid induced mania with psychotic symptoms is aimed to discuss in terms of risk factors, response to olanzapine and treatment course.
Keywords
References
- Braunwald E, Fauci A, Kasper D, Hauser S, Longo D, Jameson J. Harrison’s Principle of Internal Medicine 15 th Edition; 2001: 2422-3. Raskin DE. Steroid-induced panic disorder. Am. J. Psychiatry 1984; 141: 1647.
- Charbonneau Y, Ravindran AV. Successful treatment of steroidinduced panic disorder with fluvoxamine. J. Psychiatry Neurosci. 1997;22:346-7.
- Lewis DA, Smith RE. Steroid-induced psychiatric syndromes. A report of 14 cases and a review of the literature. J. Affect. Disord. 1983;5:319-32. Braunig P, Bleistein J, Rao ML. Suicidality and corticosteroidinduced psychosis. Biol. Psychiatry. 1989;26:209-10.
- Finkenbine RD, Frye MD. Case of psychosis due to prednisoneclarithromycin interaction. Gen. Hosp. Psychiatry. 1998;20:325-6. Varney NR. A case of reversible steroid dementia. Arch. Clin. Neuropsychol. 1997;12:167-71.
- Sacks O, Shulman M. Steroid dementia: an overlooked diagnosis? Neurology. 2005;64:707-9.
- Kenna A.H, Poon A.W. Psychiatric complications of treatment with corticosteroids: Review with case report. Psychiatry and Clinical Neurosciences. 2011;65:549-60.
- Naber D, Sand P, Heigl B. Psychopathological and neuropsychological effects of 8-days’ corticosteroid treatment. A prospective study. Psychoneuroendocrinology. 1996;21:25-31.
- Wolkowitz OM, Reus VI, Weingartner H, Thompson K, Breier A, Doran A, Rubinow D, Pickar D. Cognitive effects of corticosteroids. Am. J. Psychiatry. 1990;147:1297-303.
- Hall RC, Popkin MK, Stickney SK, Gardner ER. Presentation of the steroid psychoses. J. Nerv. Ment. Dis. 1979;167:229-36.
- Kartalcı Ş, Eşel E. Psychopharmacologic and behavioral effects of neurosteroids. Bull Clin Psychopharmacol. 2004;14:38-49.
- Sirois F. Steroid psychosis: a review. Gen. Hosp. Psychiatry. 2003;25:27-33.
- Clark LD, Bauer W, Cobb S. Preliminary observations on mental disturbances occurring in patients under therapy with cortisone and ACTH. New England Journal of Medicine. 1952;246:205-16.
- Balıbey H, Yaşar H, Tekeli H. Periferik Yüz Felci Geçirmiş Olan Bir Hastada Kısa Süreli Kortikosteroid Kullanımı Sonrasında Ortaya Çıkan Karma Mani Atağı: Bir Olgu Sunumu. Journal of Mood Disorders. 2012;2:17-20.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | February 1, 2013 |
| Published in Issue | Year 2013 Volume: 3 Issue: 2 |