Article

We present a case of a 17-year-old girl who developed premenstrual dysphoric
disorder (PMDD) after sustaining a severe traumatic brain injury (TBI), and we
review the diagnosis of PMDD. The patient developed symptoms of severe depression
surrounding her menses months after sustaining severe TBI and was diagnosed with
PMDD by a psychiatrist. She ultimately required antipsychotics for optimal
symptom resolution. PMDD is a severe form of premenstrual syndrome with symptoms
including irritability, anxiety, and nonfatal suicidal behavior. We discuss other
potential causes of mood disturbance that are important to screen for after TBI,
including depression, anxiety, and hypothalamic-pituitary axis disorders.
Rehabilitation medicine providers need to be aware of PMDD in postpubertal female
patients with TBI because it can lead to nonfatal suicidal behaviors.
LEVEL OF EVIDENCE: V.
CI - Copyright (c) 2018 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS