title: Psychosis in Secondary Empty Sella Syndrome following a Russell's Viper Bite.
abstract: Hypopituitarism can present with psychiatric symptoms. We report a unique case of psychosis in clear consciousness in a case of hypopituitarism due to the secondary empty sella syndrome following a Russell's viper bite which was untreated and presented with psychotic symptoms for past 13 years following the snake bite. After the diagnosis of psychosis due to hypopituitarism was made, the patient was treated with levothyroxine and prednisolone supplements and his psychotic symptoms subsided without any psychotropic drugs. Vasculotoxic snake bites can cause hypopituitarism and can present with psychosis. Further research will be needed into the prevalence of this phenomenon.
authors.affiliation: Department of Psychiatry, Dr. Kunhalu's Nursing Home, Ernakulam, Kerala, India.
authors.forename: Badr
authors.initials: B
authors.lastname: Ratnakaran
authors.affiliation: Department of Psychiatry, Government Medical College, Kottayam, Kerala, India.
authors.forename: Varghese P
authors.initials: VP
authors.lastname: Punnoose
authors.affiliation: Department of Psychiatry, Government Thirumala Devaswom Medical College, Alleppey, Kerala, India.
authors.forename: Soumitra
authors.initials: S
authors.lastname: Das
authors.affiliation: Department of Psychiatry, Government Thirumala Devaswom Medical College, Alleppey, Kerala, India.
authors.forename: Arjun
authors.initials: A
authors.lastname: Kartha
keywords: Empty sella syndrome; Russell's viper; hypopituitarism; psychosis