Acute psychosis with convulsive episodes following total thyroidectomy induced by concurrent hypothyroidism and hypocalcemia: a case report - PubMed
6 hours ago
- #hypothyroidism
- #psychosis
- #thyroidectomy
- A 59-year-old male developed acute psychosis with convulsive episodes one month after total thyroidectomy.
- Symptoms included severe agitation, confusion, bizarre behaviors, and a unique cyclical pattern occurring monthly followed by postictal somnolence.
- Laboratory tests revealed concurrent severe hypothyroidism and hypocalcemia due to iatrogenic hypoparathyroidism.
- The patient was treated with thyroid hormone replacement, calcium/vitamin D supplementation, and short-term antipsychotics, leading to full recovery within two months.
- The case highlights the synergistic neuropsychiatric effects of hypothyroidism and hypocalcemia, emphasizing the need for postoperative monitoring of thyroid function and calcium levels.