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Acute psychotic disorder and hypoglycemia.
S K Singh1, J K Agrawal, A S Srivastava
1S.K. Singh, MD, DM, Lecturer in Medicine (Endocrinology), Division of Endocrinology and Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005.
Indian Journal of Psychiatry
|July 12, 2011
Summary
Acute psychosis is a rare but significant neuroglycopenic symptom of hypoglycemia. Early recognition of this psychiatric manifestation can prevent severe brain damage in patients with hypoglycemia unawareness.
Area of Science:
- Endocrinology
- Neurology
- Psychiatry
Background:
- Neuroglycopenic symptoms are common during hypoglycemia.
- Acute psychotic disorders are rare manifestations of hypoglycemia.
Purpose of the Study:
- To report a case of acute psychosis as a neuroglycopenic symptom of hypoglycemia.
- To highlight the importance of recognizing psychosis in hypoglycemia unawareness.
Main Methods:
- Case report of a 55-year-old female patient.
- Analysis of symptoms following oral sulfonylurea-induced hypoglycemia.
Main Results:
- The patient presented with acute psychosis without preceding symptoms of adrenomedullary stimulation.
- This psychotic episode was linked to severe hypoglycemia.
Conclusions:
- Acute and transient psychotic disorder can be a key neuroglycopenic feature of hypoglycemia.
- Early identification of psychosis in hypoglycemia can prevent severe brain damage.
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