David R. Spiegel, MD | Psychiatrist.com

Catatonia in a Patient With Hypothyroidism Due to Levothyroxine Nonadherence

Case Report

Catatonia in a Patient With Hypothyroidism Due to Levothyroxine Nonadherence

August 1, 2024

The authors present a case of catatonia in the context of a 72-year-old patient with nonadherence to thyroxine who developed severe hypothyroidism.

David R. Spiegel, Conor Jahelka, Morgan Shelton, et al

Seizures Due to Anti-NMDAR Encephalitis With Unremarkable Imaging Evaluations

Case Report

Seizures Due to Anti-NMDAR Encephalitis With Unremarkable Imaging Evaluations

January 11, 2024

Management options for women with anti-NMDAR encephalitis and high clinical probability of ovarian tumor (OT) but negative imaging studies include immunotherapy without further search for OT, repetitive screening for...

David R. Spiegel, Abbey McLean, Megan Ralston, et al

Capgras Syndrome After Bifrontal Craniotomy

Case Report

Capgras Syndrome After Bifrontal Craniotomy

November 7, 2023

Capgras syndrome is historically rare and was initially thought to be precipitated only by psychodynamic causes; however, it is now a known sequela of organic causes such as neurologic...

David R. Spiegel, Miranda N. Teixeira, Jovanna A. Tracz, et al

Ovarian Teratoma–Induced NMDA Receptor Antibody Encephalitis With Psychosis and Catatonia

Case Report

Ovarian Teratoma–Induced NMDA Receptor Antibody Encephalitis With Psychosis and Catatonia

August 1, 2023

This report describes a case of acute-onset behavioral changes accompanied by psychosis and catatonia in a young woman who was ultimately determined to have NMDA receptor antibody encephalitis.

David R. Spiegel, Kripa Ahuja, Faith E. Reid, et al

Psychosis in Multiple Sclerosis

Case Report

Psychosis in Multiple Sclerosis

July 25, 2023

A patient with no prior psychiatric or medical history presented to the hospital with acute-onset left facial droop and other stigmata of multiple sclerosis with subacute onset of psychosis.

David R. Spiegel, Megan Ralston, Shaan S. Sharma, et al

Differential Diagnosis of Anterograde Amnesia From Bilateral Hippocampal Ischemia Due to Opiate Use

Case Report

Differential Diagnosis of Anterograde Amnesia From Bilateral Hippocampal Ischemia Due to Opiate Use

May 9, 2023

A patient with no history of premorbid cognitive deficits was found unconscious in her home and later presented to the emergency department with a clear mentation but dense anterograde...

David R. Spiegel, Marie Isabelle Yrastorza-Daghma, Shaan S. Sharma, et al

Reversal of Symptoms of Catatonic Coma With Lorazepam

Case Report

Reversal of Symptoms of Catatonic Coma With Lorazepam

February 2, 2023

In this case of catatonic coma, which precipitated a palliative care consult, full-dose lorazepam challenge changed the clinical course.

David R. Spiegel, Ann Ayzman, Faith E. Reid, et al

Richardson Syndrome Variant of Progressive Supranuclear Palsy With Apathy and Depression

Case Report

Richardson Syndrome Variant of Progressive Supranuclear Palsy With Apathy and Depression

October 27, 2022

Here, read about a patient with symptoms of the Richardson syndrome variant of progressive supranuclear palsy, including neuropsychiatric features.

David R. Spiegel, Jamie A. Parkerson, Perry B. Hammond, et al

Catatonia During Post-Acute Phase of COVID-19

Case Report

Catatonia During Post-Acute Phase of COVID-19

June 14, 2022

Here, the authors present the case of a patient who developed catatonia post-acute COVID-19 infection, as well as a possible mechanism of COVID-19 infection affecting neurotransmitters posited to be...

David R. Spiegel, Alice Kisteneff, Whitney Fidelis, et al

Wernicke’s Encephalopathy Masquerading as MDD

Case Report

Wernicke’s Encephalopathy Masquerading as MDD

May 17, 2022

The authors present the case of a patient who was admitted to the hospital and misdiagnosed with severe depression after being diagnosed with hyperemesis gravidarum.

Ariana Spiegel, David R. Spiegel, Abbey McLean, et al

Neuropsychiatric Systemic Lupus Erythematosus and IV Immunoglobulin

Case Report

Neuropsychiatric Systemic Lupus Erythematosus and IV Immunoglobulin

March 15, 2022

Here, read about a patient with new-onset mania, with unreported elevated anti-double stranded DNA and systemic lupus erythematosus.

David R. Spiegel, Abbey McLean, Nina L. Swiacki, et al

Case Report

Psychosis After COVID-19 in a Patient With Schizophrenia and Kidney Transplant

January 13, 2022

Here, the authors present the case of a patient with stabilized schizophrenia who had previously received a renal transplant and subsequently acquired COVID-19. They highlight how each of the...

David R. Spiegel, Ayan Ali, Cassandra Dao, et al

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