Psychosis as a Late Manifestation of Sheehan’s Syndrome

    December 2016 in “ Asian Journal of Psychiatry
    M S Reddy, Abhinav Nahar, Harish Thippeswamy, Chaturvedi Santosh Kumar
    Studysummary This case report illustrates the relationship between psychosis and Sheehan's syndrome and discusses treatment challenges.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    Sheehan’s syndrome, resulting from ischemic pituitary necrosis due to severe postpartum hemorrhage, could rarely present with psychosis. This case report highlighted a 42-year-old woman who developed psychotic symptoms years after childbirth. The diagnosis was confirmed through her history, low pituitary hormone levels, and MRI findings. The study emphasized that correcting endocrine imbalances along with appropriate psychotropic medications could lead to remission of psychotic symptoms. The average delay in diagnosis from the obstetric event was noted to be 13 years in a related study.
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