Adrenal Insufficiency‐Induced Delirium Following Gastrectomy in a Patient With Gastric Cancer Treated With Nivolumab, Immune Checkpoint Inhibitors: A Case Report
This case highlights adrenal insufficiency as an underrecognized cause of delirium in ICI-treated patients during the perioperative period. Awareness, early endocrine evaluation, and timely glucocorticoid replacement are crucial; preoperative screening may be considered in ICI-exposed patients scheduled for major surgery.
Authors
- Ryo Maehara
- Kota Kikuchi
- Norio Sugawara (ORCID: https://orcid.org/0000-0001-7058-664X)
- Yasushi Kawamata (ORCID: https://orcid.org/0000-0002-9879-9492)
- Norio Yasui‐Furukori (ORCID: https://orcid.org/0000-0002-4414-3770)
- Kazuki Yamada (ORCID: https://orcid.org/0000-0001-8263-0011)
- Taro Sasaki (ORCID: https://orcid.org/0000-0003-3289-4080)
- T Owada
Institutions
- Dokkyo Medical University (JP)
Publication Details
- Journal
- Neuropsychopharmacology Reports
- Published
- 2025-11-11
- DOI
- https://doi.org/10.1002/npr2.70072
- Primary Topic
- Adrenal Hormones and Disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00