A Case of Menstrual Psychosis, an Under RecognizedDiagnosis by Rathore Geetanjali in Online Journal of Neurology and Brain Disorders (OJNBD)- Lupine Publishers
Menstrual psychosis is a rare disorder that causes psychotic symptoms
in conjunction with a patient’s menstrual cycle. We
present a case of a 14-year-old girl who presents with such symptoms.
Our patient presented with five days of somnolence,
paranoia, and visual hallucinations soon after a diagnosis of
streptococcal pharyngitis and being started on antimicrobial therapy.
Her neurologic exam was significant for flat affect and psychomotor
slowing. A thorough work-up consisting of brain MRI, EEG, LP,
encephalopathy panel, along with metabolic, infectious, and inflammatory
laboratory analysis was unremarkable, and she recovered
without therapy about one week after symptom onset. Patient had
recurrence and spontaneous resolution of her symptoms two
more times over the next 10 months with repeat work-up negative; her
family noted that the onset of her symptoms always seemed
to coincide with the onset of her menses. She was started on combination
oral contraceptive pills and has had no further recurrence
of her symptoms since then.
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