%0 Journal Article
%T Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to GravesĄŻ Disease
%A Takahiro Saito
%A Rie Saito
%A Hiroshi Suwa
%A Fumiatsu Yakushiji
%A Kenji Takezawa
%A Mitsuru Nakamura
%J Case Reports in Psychiatry
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/868490
%X We reported a case which presented recurrent episodes of catatonia as a result of GravesĄŻ disease with hyperthyroidism. The patient showed different treatment response in each episodes; in the first episode, psychiatric and physical symptoms were resolved by a combination of antithyroid and anxiolytic therapies, while in the second episode, the combination therapy did not ameliorate her symptoms and ECT was indicated. We postulated that decreased CSF level of TTR and the resulting susceptibility to the derangement of peripheral thyroid function might be involved in this different treatment response.
%U http://www.hindawi.com/crim/psychiatry/2012/868490/