title: Differences in the Treatment Response to Antithyroid Drugs versus Electroconvulsive Therapy in a Case of Recurrent Catatonia due to Graves' Disease.
abstract: We reported a case which presented recurrent episodes of catatonia as a result of Graves' 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.
authors.affiliation: Department of Psychiatry, Yokohama Camellia Hospital, 920 Shiranecyo, Asahiku, Kanagawa, Yokohama 241-0003, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Saito
authors.forename: Rie
authors.initials: R
authors.lastname: Saito
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Suwa
authors.forename: Fumiatsu
authors.initials: F
authors.lastname: Yakushiji
authors.forename: Kenji
authors.initials: K
authors.lastname: Takezawa
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Nakamura