{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T22:52:41Z","timestamp":1792018361695,"version":"4.4.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>\n                    <jats:bold>ABSTRACT<\/jats:bold>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.14309\/crj.2017.11","type":"journal-article","created":{"date-parts":[[2017,1,26]],"date-time":"2017-01-26T14:20:42Z","timestamp":1485440442000},"page":"e11","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Steroid-Induced Psychosis after EUS-Guided Celiac Plexus Blockade"],"prefix":"10.14309","volume":"4","author":[{"given":"David C.","family":"Olson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason J.","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-11-20260710","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1016\/S0016-5107(96)70047-0","article-title":"Endosonography-guided celiac plexus neurolysis.","volume":"44","author":"Wiersema","year":"1996","journal-title":"Gastrointest Endosc"},{"key":"R2-11-20260710","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1097\/MCG.0b013e3181bb854d","article-title":"Efficacy of endoscopic ultrasoundguided celiac plexus block and celiac plexus neurolysis for managing abdominal pain associated with chronic pancreatitis and pancreatic cancer.","volume":"44","author":"Kaufman","year":"2010","journal-title":"J Clin Gastroenterol"},{"issue":"26","key":"R3-11-20260710","doi-asserted-by":"crossref","first-page":"8424","DOI":"10.3748\/wjg.v20.i26.8424","article-title":"Endoscopic ultrasound-guided treatments: Are we getting evidence based - a systematic review.","volume":"20","author":"Fabbri","year":"2014","journal-title":"World J Gastroentero"},{"key":"R4-11-20260710","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/00005053-197904000-00006","article-title":"Presentation of the steroid psychoses.","volume":"167","author":"Hall","year":"1979","journal-title":"J Nerv Ment Dis"},{"issue":"6","key":"R5-11-20260710","doi-asserted-by":"crossref","first-page":"917","DOI":"10.36076\/ppj.2008\/11\/917","article-title":"Corticosteroid induced psychosis in the pain management setting.","volume":"11","author":"Benyamin","year":"2008","journal-title":"Pain Physician"},{"issue":"Suppl 2","key":"R6-11-20260710","first-page":"73","article-title":"Acute paranoid symptoms following intramuscular injection of nandrolone.","volume":"30","author":"Teuber","year":"2003","journal-title":"Psychiatr Prax"},{"issue":"11","key":"R7-11-20260710","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1136\/ard.59.11.926a","article-title":"Steroid psychosis after an intra-articular injection.","volume":"59","author":"Robinson","year":"2000","journal-title":"Ann Rheum Dis"},{"key":"R8-11-20260710","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1097\/00000542-199611000-00030","article-title":"Corticosteroid-induced mania after single regional application at the celiac plexus.","volume":"85","author":"Fishman","year":"1996","journal-title":"Anesthesiology"},{"issue":"1","key":"R9-11-20260710","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/0022-3956(85)90068-8","article-title":"A corticosteroiddopamine hypothesis for psychotic depression and related states.","volume":"19","author":"Schatzberg","year":"1985","journal-title":"J Psychiatr Res"},{"issue":"1","key":"R10-11-20260710","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/0306-4530(95)00031-3","article-title":"Psychopathological and neuropsychological effects of 8-days corticosteroid treatment. A prospective study.","volume":"21","author":"Naber","year":"1996","journal-title":"Psychoneuroendocrinology"},{"issue":"5","key":"R11-11-20260710","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1016\/j.biopsych.2003.09.010","article-title":"Hippocampal volume, spectroscopy, cognition, and mood in patients receiving corticosteroid therapy.","volume":"55","author":"Brown","year":"2004","journal-title":"Biol Psychiatry"},{"key":"R12-11-20260710","first-page":"17","article-title":"Mood and cognitive changes during systemic corticosteroid therapy.","volume":"3","author":"Brown","year":"2001","journal-title":"Prim Care Companion J Clin Psychiatry"},{"issue":"2","key":"R13-11-20260710","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1097\/00000542-199802000-00035","article-title":"Unusual psychological manifestation of systemic local anesthetic toxicity.","volume":"88","author":"Marsch","year":"1998","journal-title":"Anesthesiology"}],"container-title":["ACG Case Reports Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/02075970-201704000-00011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:15:04Z","timestamp":1786547704000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/02075970-201704000-00011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.14309\/crj.2017.11","relation":{},"ISSN":["2326-3253"],"issn-type":[{"value":"2326-3253","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}