High-Dose Oral Thyroxine to Optimize Thyroid Function Before Electroconvulsive Therapy: A Case of Schizophrenia With Comorbid Hashimoto Thyroiditis

Pooja Bhatt, MD; Pavithra Jayasankar, MD; Ranjitha Ramachandraiah, MD; Y. Ashutosh Bharadwaj, MBBS; Mandyam D. Chithra, MBBS, FEDM, CDE; Vijay Kumar, MD

Prim Care Companion CNS Disord 2025;27(4):25cr03914

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References (8)

Hermida AP, Mohsin M, Marques Pinheiro AP, et al. The cardiovascular side effects of electroconvulsive therapy and their management. The J ECT. 2022;38(1):2–9.
Menon V, Subramanian K, Thamizh JS. Psychiatric presentations heralding Hashimoto’s encephalopathy: a systematic review and analysis of cases reported in literature. J Neurosci Rural Pract. 2017;8(2):261–267.
Spiegel DR, Jahelka C, Shelton M, et al. A case and differential diagnosis of catatonia in a patient with hypothyroidism due to levothyroxine nonadherence. Prim Care Companion CNS Disord. 2024;26(4):56170.
Rasmussen MJ, Robbins H, Fipps DC, et al. Neuropsychiatric sequelae of thyroid dysfunction: evaluation and management. Prim Care Companion CNS Disord. 2023;25(6):23f03570.
Bush G, Fink M, Petrides G, et al. Catatonia. I. Rating scale and standardized examination. Acta Psychiatr Scand. 1996;93(2):129–136. PubMed CrossRef
Malhotra B, Bhadada SK. Perioperative management for non-thyroidal surgery in thyroid dysfunction. Indian J Endocrinol Metab. 2022;26(5):428–434.
Overall JE, Gorham DR. The Brief Psychiatric Rating Scale (BPRS): recent developments in ascertainment and scaling. Psychopharmacol Bull. 1988;22:97–99.
Rodríguez-Ramírez S, Trejo-Terreros V, Téllez-Martínez JA, et al. Response to steroids and electroconvulsive therapy in Hashimoto’s encephalopathy: case report and literature review. Rev Mex Neurocienc. 2014;15(3):171–174.