Corticosteroid induced psychosis in the pain management setting.
Pain Physician
; 11(6): 917-20, 2008.
Article
en En
| MEDLINE
| ID: mdl-19057637
ABSTRACT
BACKGROUND:
Synthetic corticosteroids are commonly utilized in interventional pain management procedures. These substances have potential side-effects including psychological adverse events.OBJECTIVE:
We describe a case of substance-induced psychotic disorder resulting from corticosteroids administration.DESIGN:
Case Report.METHODS:
We describe a 67-year-old male that, six months prior to being consulted at our center, received a cervical epidural, 4 level medial branch blocks, 4 trigger point injections and a tendon injection in the shoulder all including corticosteroids all in one treatment session.RESULTS:
Approximately 7 days following the multiple injections, the patient developed psychotic episodes including racing thoughts, anger, agitation, pressured hyperverbal speech and paranoia. The symptoms spontaneously resolved in approximately 7-10 days.DISCUSSION:
Although well known as a potential complication, corticosteroid induced psychosis secondary to interventional pain procedures have never been reported. We further discuss this potential side effect of utilizing corticosteroids and emphasize the need for guidelines regarding steroid utilization.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Psicosis Inducidas por Sustancias
/
Corticoesteroides
/
Dolor de Cuello
Tipo de estudio:
Guideline
/
Qualitative_research
Límite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Pain Physician
Asunto de la revista:
PSICOFISIOLOGIA
Año:
2008
Tipo del documento:
Article
País de afiliación:
Estados Unidos