Steroid-induced psychosis complicating orthognathic surgery: A case report

Abstract

Psychosis is an uncommon but well-recognised complication of short-term corticosteroid administration. We report a case of steroid-induced psychosis subsequent to a bimaxillary osteotomy.

Visual hallucinations on eye closure after orthopedic surgery under general anesthesia

“…Fisher [7,8] described two cases of visual hallucinations on eye closure attributed to atropine toxicity and lidocaine as the local anesthetic for minor surgery. In our patient, hydrocortisone, fentanyl, ephedrine, and midazolam, along with atropine and lidocaine could be candidate hallucinogens [9][10][11][12], although the doses were not excessive. Microembolic insult to the pulmonary circulation resulting in cerebral hypoxic damage and/or direct damage to the visual association cortex may cause visual hallucinations on eye closure [3].…”

More Harm Than Benefit of Perioperative Dexamethasone on Recovery Following Reconstructive Head and Neck Cancer Surgery: A Prospective Double-Blind Randomized Trial

“…[4][5][6][7][8][9][10] In reconstructive head and neck cancer surgery, GCs also are believed to lower the risk of complications, such as prolonged intubation and sedation, and prevent edema in the area of the anastomosis and possible flap loss, thus improving patient recovery. However, even short-term (<1-week) GC use can cause severe complications, [11][12][13][14] wound-healing problems, and postoperative infections. [15][16][17] In their previous study, the authors reported that major complications occurred more frequently in patients administered GCs than in the control group (P = .012).…”

“I was never like that”: Australian findings on the psychological and psychiatric sequelae of corticosteroids in haematology treatments

“…Corticosteroid treatments have been well documented to cause severe emotional and even psychiatric disturbances, ranging from mood disturbances to (florid) psychosis [7,12,19,31]. Typical sequelae from the use of corticosteroids can include symptoms such as insomnia, euphoric moods, mood disorders (with depressive, manic and mixed features), mania and visual hallucinations [12,14,25,27], severe depression [13], irritability, violence [1], neuropsychological deficits and psychotic states [15,25,32].…”