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THYROTOXICOSIS FOLLOWING ELECTRIC CONVULSIVE TREATMENT

Published Online:https://doi.org/10.1176/ajp.108.11.839

1. Three cases of hyperthyroidism occurring in the course of or after ECT for unrelated psychoses were described.

2. This occurred in a fraction of 1% of controlled cases.

3. It is believed that individuals unable to manufacture their own cortisone are unequipped to counteract the increased production of the thyrotrophic factor of the pituitary caused by ECT.

4. Metrazol did not seem to parallel ECT in its effect on thyroid function and was successfully used in clearing up 2 cases of frankly thyrotoxic delirium.

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