Prolonged Hypercalcemia-Induced Psychosis

Joint Authors

Aziz, Rehan
Tobia, Anthony
Nagy, Lauren
Mangini, Pratheek
Schroen, Caitlin

Source

Case Reports in Psychiatry

Issue

Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2020-02-01

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Psychology
Medicine
Psychiatry

Abstract EN

Hypercalcemia is known to cause neuropsychiatric dysfunction including mood and cognitive changes and rarely, acute psychosis.

High calcium levels can be a catalyst for neuronal demise, possibly due to glutaminergic excitotoxicity and dopaminergic and serotonergic dysfunction.

While restoration of normal calcium levels or removal of a parathyroid adenoma has been shown to rapidly resolve neuropsychiatric symptoms, there have been rare reported cases of primary hyperparathyroid-related hypercalcemia with persistent symptoms of psychosis.

In this case report, we will describe a patient with no past psychiatric history presenting with a protracted course of delirium and psychosis after a removal of a parathyroid adenoma which had caused prolonged exposure to hypercalcemia.

The patient’s psychosis was unresponsive to psychotropic medication and required inpatient psychiatric care after medical clearance.

Per medical records, before the patient was ultimately lost to follow-up, she continued to suffer from psychotic symptoms for at least 8 months.

We will discuss the patient’s unusual hospital course and management and offer suggestions for future study.

American Psychological Association (APA)

Nagy, Lauren& Mangini, Pratheek& Schroen, Caitlin& Aziz, Rehan& Tobia, Anthony. 2020. Prolonged Hypercalcemia-Induced Psychosis. Case Reports in Psychiatry،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1150920

Modern Language Association (MLA)

Nagy, Lauren…[et al.]. Prolonged Hypercalcemia-Induced Psychosis. Case Reports in Psychiatry No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1150920

American Medical Association (AMA)

Nagy, Lauren& Mangini, Pratheek& Schroen, Caitlin& Aziz, Rehan& Tobia, Anthony. Prolonged Hypercalcemia-Induced Psychosis. Case Reports in Psychiatry. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1150920

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1150920