Hostname: page-component-76fb5796d-vfjqv Total loading time: 0 Render date: 2024-04-25T15:05:31.554Z Has data issue: false hasContentIssue false
  • English
  • Français

Dissociative disorder following preeclampsia: A case report

Published online by Cambridge University Press:  13 August 2021

A. Giménez Palomo ,
M.L. Imaz ,
I. Pacchiarotti ,
A. Roca ,
E. Solé  and
L. Garcia-Esteve
A. Giménez Palomo*
Affiliation:
Unit Of Perinatal Mental Health, Hospital Clinic Barcelona, Barcelona, Spain
M.L. Imaz
Affiliation:
Unit Of Perinatal Mental Health, Hospital Clinic Barcelona, Barcelona, Spain
I. Pacchiarotti
Affiliation:
Department Of Psychiatry And Psychology, University of Barcelona, Barcelona, Spain
A. Roca
Affiliation:
Unit Of Perinatal Mental Health, Hospital Clinic Barcelona, Barcelona, Spain
E. Solé
Affiliation:
Unit Of Perinatal Mental Health, Hospital Clinic Barcelona, Barcelona, Spain
L. Garcia-Esteve
Affiliation:
Unit Of Perinatal Mental Health, Hospital Clinic Barcelona, Barcelona, Spain
*
*Corresponding author.

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

Preeclampsia is a new-onset hypertension with new-onset proteinuria after 20 weeks gestation. Scarce evidence regarding psychiatric effects of preeclampsia is available.

Objectives

To describe a case of a pregnant 24 year-old patient with a premature cesarean section in context of severe preeclampsia and dissociative symptoms.

Methods

Patient referred to a third-level hospital for cesarean section due to a severe preeclampsia at week 32, in whom magnesium sulfate, labetalol perfusion and betamethasone are started. In the puerperium period only labetalol up to 300 mg/6h is maintained.

Results

Due to the appearance of pulsating headache and photophobia, a computerized tomography is conducted, showing bilateral insular and occipital hypodensity related to vasogenic edema. High blood pressure is maintained (177/121 mmHg) despite antihypertensive treatment. A magnetic resonance imaging and an ophthalmologic exam do not show significant abnormalities and blood pressure is stabilized with treatment. However, the patient refers new-onset auditory imperative hallucinations and suicide thoughts, being referred to our Acute Psychiatric Ward for clinical assessment and intervention. Treatment with risperidone 2 mg is started. The day after her admission, she does not refer psychotic symptoms, explaining depersonalization symptoms in the previous 5 days, seeing herself having to choose a knife to commit suicide. After discharge, she maintains reiterative dreams in which she falls down from a building, not presenting dissociative symptoms during the day.

Conclusions

Further evidence regarding psychiatric effects of preeclampsia is needed in order to study the consequences of edema and pharmacological treatment. Blood pressure and psychiatric symptoms monitoring after preeclampsia should also be considered.

Disclosure

No significant relationships.

Keywords

preeclampsiaPerinatal Mental Healthdissociative disorderhypertension
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S650
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
Submit a response

Comments

No Comments have been published for this article.