A schizophrenia-like psychotic disorder secondary to an arachnoid cyst remitted with neurosurgical treatment of the cyst
- Baquero, G.A. 1
- Molero, P. 1
- Pla, J. 1
- Ortuño, F. 1
-
1
Clínica Universitaria de Navarra
info
ISSN: 1874-4400
Argitalpen urtea: 2014
Alea: 8
Zenbakia: 1
Orrialdeak: 1-4
Mota: Artikulua
Beste argitalpen batzuk: The Open Neuroimaging Journal
Laburpena
We describe a case of delusional psychosis that was terminated by neurosurgical removal of a large arachnoid cyst. The patient was suffering his first psychotic episode and had symptoms typical of schizophrenia.The case underscores the importance of considering that an arachnoid cyst can induce psychopathological symptoms, even those of schizophrenia. Indeed, such symptoms may be the cyst's only clinical manifestation.In addition, the case highlights the importance of doing a structural imaging test when confronted with a first episode of psychosis, especially if the episode is relatively late in appearance. Such imaging may lead to a diagnosis that in turn can enable a definitive neurosurgical resolution of the psychosis.
Erreferentzia bibliografikoak
- Hamilton M. The assessment of anxiety states by rating Br J Med Psychol 1959; 32 : 50-.
- Hamilton M. A rating scale for depression J Neurol Neurosurg Psychiatr 1960; 23 : 56-62.
- Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia Schizophr Bull 1987; 13 (2) : 261-76.
- The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic criteria for research World Health Organization 1993.
- American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC 2013.
- Wester K. Intracranial arachnoid cysts-do they impair mental functions? J Neurol 2008; 255 (8) : 1113-20.
- Gelabert-Gonzalez M. Intracranial arachnoid cysts Rev Neurol 2004; 39 (12) : 1161-6.
- Bahk WM, Pae CU, Chae JH, Jun TY, Kim KS. A case of brief psychosis associated with an arachnoid cyst Psychiatr Clin Neurosci 2002; 56 (2) : 203-5.
- Vakis AF, Koutentakis DI, Karabetsos DA, Kalostos GN. Psychosis-like syndrome associated with intermittent intracranial hypertension caused by a large arachnoid cyst of the left temporal lobe Br J Neurosurg 2006; 20 (3) : 156-9.
- da Silva JA, Alves A, Talina M, Carreiro S, Guimarães J, Xavier M. Arachnoid cyst in a patient with psychosis: Case report Ann Gen Psychiatr 2007; 6 : 16.
- Kuloglu M, Caykoylu A, Yilmaz E, Ekinci O. A left temporal lobe arachnoid cyst in a patient with schizophrenia-like psychosis: a case report Prog Neuropsychopharmacol Biol Psychiatr 2008; 32 (5) : 1353-4.
- Bechter K, Wittek R, Seitz K, Antoniadis G. Personality disorders improved after arachnoid cyst neurosurgery, then rediagnosed as 'minor' organic personality disorders Psychiatr Res 2010; 184 (3) : 196-200.