%0 Journal Article
%T Steroid-Induced Psychosis after EUS-Guided Celiac Plexus Blockade
%A David C. Olson
%A Jason J. Lewis
%J Archive of "ACG Case Reports Journal".
%D 2017
%R 10.14309/crj.2017.11
%X A 46-year-old female with no previous personal or family psychiatric history underwent endoscopic ultrasound (EUS)-guided celiac plexus blockade (CPB) to treat pain related to cystic fibrosis transmembrane conductance regulator-associated chronic pancreatitis. She had excellent response to her first three CPBs using bupivacaine and triamcinolone. The patient¡¯s subsequent CPBs were complicated by symptoms of racing thoughts, delusional thinking, and insomnia. She was diagnosed with acute psychosis secondary to triamcinolone. This is the first reported case of steroid-induced psychosis caused by EUS-guided CPB. Optimal treatment for steroid-induced psychiatric symptoms include dose reduction or discontinuation of steroids and administration of lithium, valproic acid, or atypical antipsychotics
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5247628/