A schizophrenia-like psychotic disorder secondary to an arachnoid cyst remitted with neurosurgical treatment of the cyst.

Q4 Medicine
Open Neuroimaging Journal Pub Date : 2014-02-21 eCollection Date: 2014-01-01 DOI:10.2174/1874440001408010001
G A Baquero, P Molero, J Pla, F Ortuño
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引用次数: 19

Abstract

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.

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蛛网膜囊肿一种继发于蛛网膜囊肿的精神分裂症样精神障碍,通过神经外科治疗囊肿得以缓解。
我们描述了一个妄想性精神病,是终止神经外科切除一个大蛛网膜囊肿。病人第一次精神病发作,有精神分裂症的典型症状。该病例强调了考虑蛛网膜囊肿可以诱发精神病理症状,甚至是精神分裂症的重要性。事实上,这些症状可能是囊肿唯一的临床表现。此外,该病例强调了首次精神病发作时进行结构成像检查的重要性,特别是当发作出现相对较晚时。这样的影像可能导致诊断,进而可以使精神病的明确神经外科解决方案。
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来源期刊
Open Neuroimaging Journal
Open Neuroimaging Journal Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
0.70
自引率
0.00%
发文量
3
期刊介绍: The Open Neuroimaging Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, and letters in all important areas of brain function, structure and organization including neuroimaging, neuroradiology, analysis methods, functional MRI acquisition and physics, brain mapping, macroscopic level of brain organization, computational modeling and analysis, structure-function and brain-behavior relationships, anatomy and physiology, psychiatric diseases and disorders of the nervous system, use of imaging to the understanding of brain pathology and brain abnormalities, cognition and aging, social neuroscience, sensorimotor processing, communication and learning.
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