Steroid-Induced Psychosis after EUS-Guided Celiac Plexus Blockade | Zendy

David C. Olson | Zendy; Jason Lewis | Zendy

AI Assistant Blog Pricing

Home ZAIA Blog

Open Access

Steroid-Induced Psychosis after EUS-Guided Celiac Plexus Blockade

Author(s) -

David C. Olson,

Jason Lewis

Publication year - 2017

Publication title -

acg case reports journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.112

H-Index - 4

ISSN - 2326-3253

DOI - 10.14309/crj.2017.11

Subject(s) - medicine , discontinuation , triamcinolone acetonide , psychosis , blockade , lithium (medication) , acute psychosis , anesthesia , pancreatitis , surgery , psychiatry , receptor

A 46-year-old female with no previous personal or family psychiatric history underwent endoscopic ultrasound (EUS)-guided celiac plexus blockade (CPB) to treat pain related to cystic fibrosis transmembrane conductance regulator-associated chronic pancreatitis. She had excellent response to her first three CPBs using bupivacaine and triamcinolone. The patient's subsequent CPBs were complicated by symptoms of racing thoughts, delusional thinking, and insomnia. She was diagnosed with acute psychosis secondary to triamcinolone. This is the first reported case of steroid-induced psychosis caused by EUS-guided CPB. Optimal treatment for steroid-induced psychiatric symptoms include dose reduction or discontinuation of steroids and administration of lithium, valproic acid, or atypical antipsychotics.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research