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Psychotic disorder, hypertension and seizures associated with vitamin B-12 deficiency: a case report
- Publication Year :
- 2012
-
Abstract
- This report highlights a rare presentation of vitamin B12 deficiency (concurrent psychotic disorder, seizures and hypertension). A 16-year-old girl presented with nervousness that had been persisting for 2 weeks. She had stopped eating and there was decreased self-care and she could not walk and sleep. Two days prior to admission, generalized tonic–clonic convulsions were noted. On physical examination, vital signs were normal, except for hypertension (150/100 mm Hg). She did not respond to conversation; she could not answer the questions. Mood was depressive and hallucinations were noted. Laboratory analyses were normal, except for a low vitamin B12 level (−1). The patient was not given any treatment of hypertension, psychosis or seizures, except vitamin B12 injections. After that, she showed improvement within 1 week. In the 7 days of hospitalization, the arterial blood pressure returned to normal, psychotic symptoms were resolved, the visual hallucinations and the depressive mood subsided, and she could eat and speak clearly. No hypertension or convulsions have been detected on the control examinations, and she has now been followed-up without any symptoms or findings. In conclusion, with this report we emphasized that psychosis, seizures and hypertension can be a rare manifestation of vitamin B12 deficiency, which is reversible with therapy and serum vitamin B12 level should be checked in patients who do not have an obvious cause for psychosis, seizures or hypertension.
- Subjects :
- Vitamin b
Psychosis
medicine.medical_specialty
Pediatrics
Adolescent
Health, Toxicology and Mutagenesis
media_common.quotation_subject
Vital signs
Physical examination
Toxicology
Seizures
medicine
Humans
Girl
Vitamin B12
media_common
medicine.diagnostic_test
business.industry
Vitamin B 12 Deficiency
General Medicine
medicine.disease
Vitamin B 12
Treatment Outcome
Mood
Blood pressure
Psychotic Disorders
Hypertension
Physical therapy
Female
business
Subjects
Details
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....1ff27980cc469554ceb0fc7cce9a02be