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Ishida M, Kawada S, Onishi H. A case report of brief psychotic disorder with catalepsy associated with sequential life-threatening events in a patient with advanced cancer. Biopsychosoc Med. 2017;11:10doi: 10.1186/s13030-017-0095-7.
Ishida, M., Kawada, S., & Onishi, H. (2017). A case report of brief psychotic disorder with catalepsy associated with sequential life-threatening events in a patient with advanced cancer. BioPsychoSocial medicine, 1110. https://doi.org/10.1186/s13030-017-0095-7
Ishida, Mayumi, et al. "A case report of brief psychotic disorder with catalepsy associated with sequential life-threatening events in a patient with advanced cancer." BioPsychoSocial medicine vol. 11 (2017): 10. doi: https://doi.org/10.1186/s13030-017-0095-7
Ishida M, Kawada S, Onishi H. A case report of brief psychotic disorder with catalepsy associated with sequential life-threatening events in a patient with advanced cancer. Biopsychosoc Med. 2017 Apr 11;11:10. doi: 10.1186/s13030-017-0095-7. eCollection 2017. PMID: 28413438; PMCID: PMC5387320.
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Biopsychosoc Med. 2017 Apr 11;11:10. doi: 10.1186/s13030-017-0095-7. eCollection 2017.

A case report of brief psychotic disorder with catalepsy associated with sequential life-threatening events in a patient with advanced cancer.

BioPsychoSocial medicine

Mayumi Ishida, Satoshi Kawada, Hideki Onishi

Affiliations

  1. Department of Psycho-Oncology, Saitama Medical University International Medical Center, Hidaka City, Saitama 350-1298 Japan.
  2. Department of Psychiatry, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Haebaru, Okinawa 901-1193 Japan.

PMID: 28413438 PMCID: PMC5387320 DOI: 10.1186/s13030-017-0095-7

Abstract

BACKGROUND: Cancer is commonly perceived as life-threatening and universally stressful; however, brief psychotic disorder, which occurs in response to extremely stressful events, has not been reported.

CASE PRESENTATION: A 63-year-old woman, who was diagnosed as having pancreatic cancer with liver metastasis, became unresponsive with very little reaction to verbal contact after sequential life-threatening events, such as thrombosis of both pulmonary arteries and stenosis of the third portion of the duodenum, due to disease progression over 3 weeks beginning with oncological emergency hospital admission. Laboratory findings and electroencephalography were unremarkable. She maintained the position when the psycho-oncologist raised her hand (catalepsy). She had no medical history of psychiatric illness, or alcohol or drug abuse. From these findings, she was suspected of having a brief psychotic disorder with catalepsy and substupor, and 2.5 mg of haloperidol was administered. Her psychiatric symptoms disappeared in 4 days and the diagnosis of brief psychotic disorder was confirmed.

CONCLUSIONS: Brief psychotic disorders can manifest in patients with cancer. Careful clinical assessment is needed to correctly diagnose patients with cancer who develop brief psychotic disorders and to identify those who will benefit from correct treatment.

Keywords: Advanced cancer; Brief psychotic disorder; Catalepsy; Life-threatening event

References

  1. N Engl J Med. 2012 Apr 5;366(14):1310-8 - PubMed
  2. Cancer. 1996 Sep 1;78(5):1131-7 - PubMed
  3. Lancet Psychiatry. 2014 Sep 1;1(4):312-315 - PubMed
  4. Psychol Med. 2005 Nov;35(11):1667-75 - PubMed
  5. J Pain Symptom Manage. 2001 Dec;22(6):997-1006 - PubMed
  6. JAMA. 1983 Feb 11;249(6):751-7 - PubMed
  7. Am J Psychiatry. 2007 Jun;164(6):870-6 - PubMed
  8. Support Care Cancer. 1994 Jul;2(4):233-7 - PubMed
  9. Support Care Cancer. 1994 Jul;2(4):223-32 - PubMed
  10. Arch Intern Med. 1995 Mar 13;155(5):461-5 - PubMed

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