TY  - JOUR
PY  - 2008//
TI  - Corticosteroid induced psychosis in the pain management setting
JO  - Pain physician
A1  - Benyamin, Ramsin M.
A1  - Vallejo, Ricardo
A1  - Kramer, Jeffery
A1  - Rafeyan, Roueen
SP  - 917
EP  - 920
VL  - 11
IS  - 6
N2  - BACKGROUND: Synthetic corticosteroids are commonly utilized in interventional pain management procedures. These substances have potential side-effects including psychological adverse events. OBJECTIVE: We describe a case of substance-induced psychotic disorder resulting from corticosteroids administration. DESIGN: Case Report. METHODS: We describe a 67-year-old male that, six months prior to being consulted at our center, received a cervical epidural, 4 level medial branch blocks, 4 trigger point injections and a tendon injection in the shoulder all including corticosteroids all in one treatment session. RESULTS: Approximately 7 days following the multiple injections, the patient developed psychotic episodes including racing thoughts, anger, agitation, pressured hyperverbal speech and paranoia. The symptoms spontaneously resolved in approximately 7-10 days. DISCUSSION: Although well known as a potential complication, corticosteroid induced psychosis secondary to interventional pain procedures have never been reported. We further discuss this potential side effect of utilizing corticosteroids and emphasize the need for guidelines regarding steroid utilization.<p /> <p>Language: en</p>
LA  - en
SN  - 1533-3159
UR  - http://dx.doi.org/
ID  - ref1
ER  -