Obstetrics/GynecologyCase Report

Resolution of Hypothyroidism After Correction of Somatovisceral Reflex Dysfunction by Refusion of the Cervical Spine

Murray R. Berkowitz, DO, MA, MS, MPH
Notes and Affiliations
Notes and Affiliations

Received: August 14, 2014

Accepted: September 3, 2014

Published: January 1, 2015

J Osteopath Med; 115(1): 46-49

Psychosis is a rare initial presentation of new onset hypothyroidism. The author describes the case of a 29 year old woman who presented with psychosis caused by hypothyroidism, or myxedema madness. Although the patient’s psychosis resolved after standard monotherapy using levothyroxine sodium, her hypothyroidism persisted. Imaging of the patient’s cervical spine showed that previous C5-C6 and C6-C7 fusions had failed. The failed fusions were corrected, and the patient’s hypothyroidism resolved, suggesting that the somatovisceral reflex was the cause of the patient’s hypothyroidism. Although somatovisceral reflex dysfunctions are rare, physicians should consider them as potential underlying causes of their patients’ presenting medical conditions. J Am Osteopath Assoc. 2015;115(1):46-49 doi:10.7556/jaoa.2015.007

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