Hostname: page-component-84b7d79bbc-g5fl4 Total loading time: 0 Render date: 2024-07-29T21:32:47.270Z Has data issue: false hasContentIssue false
  • English
  • Français

Diencephalic tumours presenting as psychosis

Published online by Cambridge University Press:  24 June 2014

Y. Izci ,
T. Karlidere ,
U. Caliskan  and
K. M. Akay
Y. Izci*
Affiliation:
Department of Neurosurgery
T. Karlidere
Affiliation:
Department of Psychiatry, School of Medicine, GATA, Ankara, Turkey
U. Caliskan
Affiliation:
Department of Psychiatry, School of Medicine, GATA, Ankara, Turkey
K. M. Akay
Affiliation:
Department of Neurosurgery
*
Maresal Cakmak Asker Hastanesi, Beyin Cerrahisi Servisi, 25100 Yenisehir-Erzurum Turkey. Tel: +90 442234 70 48; Fax: + 90 442317 22 63; E-mail: yusufizci@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Diencephalic tumours are usually presented with the sign and symptoms of increased intracranial pressure, endocrinological changes and visual disturbances. Psychiatric manifestation of such rare tumours is not well known.

Objective:

To investigate the challenges and benefits of psychiatric evaluation on the diagnosis of diencephalic tumours and to emphasize the presence of psychosis as an initial phenomenon.

Methods and results:

Two cases who presented with the characteristic symptoms of psychosis and diagnosed diencephalic tumour are reported. A detailed radiological examination confirmed such diagnosis in both cases and surgical treatment was done.

Conclusion:

First, all patients who presented with a history of unexplained behaviour change must be evaluated by psychiatrists to exclude an organic pathology. Secondly, until the diagnosis of diencephalic tumour is confirmed, the surgical management must be performed.

Keywords

diencephalic tumourpsychosis
Type
Case Report
Information
Acta Neuropsychiatrica , Volume 15 , Issue 2 , April 2003 , pp. 97 - 101
Copyright
Copyright © 2003 Blackwell Munksgaard

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Snell, RS. The cerebrum. In: Snell, RS, ed. Clinical neuroanatomy for medical students. Boston: Little, Brown, 1980: 221–232. Google Scholar
Sadock, BJ, Grebb, JA. Mental disorders due to a general medical condition. In: Kaplan, HI, ed. Synopsis of psychiatry, 7th edn. Baltimore: Williams & Wilkins, 1994: 367–368. Google Scholar
Lisanby, SH, Kohler, C, Swanson, CL, Gur, RE. Psychosis secondary to brain tumour. Semin Clin Neuropsychiatry 1998;3: 12–22.Google Scholar
Sandyk, R, Bergsneider, M, Iacono, RP. Acute psychosis in a woman with a prolactinoma. Int J Neurosci 1987;37: 187–190.CrossRefGoogle Scholar
Guinan, EM, Lowy, C, Stanhope, N, Lewis, PD, Kopelman, MD. Cognitive effects of pituitary tumours and their treatments: two case studies and an investigation of 90 patients. J Neurol Neurosurg Psychiatry 1998;65: 870–876.CrossRefGoogle ScholarPubMed
Spence, SA, Taylor, DG, Hirsch, SR. Depressive disorder due to craniopharyngioma. J Roy Soc Med 1995;88: 637–638. Google ScholarPubMed
Saad, MF, Adams, F, Mackay, B, Ordonez, NG, Leavens, M E, Samaan, NA. Occult Cushing's disease presenting with acute psychosis. Am J Med 1984; 76: 759–766.CrossRefGoogle ScholarPubMed
Carroll, N, Neal, LA. Diencephalic tumours presenting as behavioural problems in the workplace. Occup Med (Lond) 1997;47: 52–54.CrossRefGoogle ScholarPubMed
Donnet, A, Schmitt, A, Dufour, H, Grisoli, F. Neuropsychological follow-up of twenty-two adult patients after surgery for craniopharyngioma. Acta Neurochir (Wien) 1999;141: 1049–1054.CrossRefGoogle ScholarPubMed
Srivastava, VK, Narayanaswamy, KS, Rao, TV. Giant pituitary adenoma. Surg Neurol 1983;20: 379–382.CrossRefGoogle ScholarPubMed
Chang, CY, Luo, CB, Teng, MMet al. Computed tomography and magnetic resonance characteristics of giant pituitary adenomas. J Formos Med Assoc 2000;99: 833–838.Google ScholarPubMed
Ravichandran, TP, Bakshi, R, Heffner, RR, Gibbons, KJ, Bates, VE, Durante, DJ, Kinkel, WR. Aggressive giant pituitary adenoma presenting as a nasopharyngeal mass. magnetic resonance imaging and pathological findings. J Neurooncol 1999;41: 71–75.CrossRefGoogle Scholar
Pia, HW, Grote, E, Hildebrandt, G. Giant pituitary adenomas. Neurosurg Rev 1985;8: 207–220.CrossRefGoogle ScholarPubMed
Zhang, X, Li, A, Yi, Set al. Transsphenoidal microsurgical removal of large pituitary adenomas. Chin Med J (Engl) 1998;111: 963–967.Google ScholarPubMed
Yildiz, F, Zorlu, F, Erbas, T, Atahan, L. Radiotherapy in the management of giant pituitary adenomas. Radiother Oncol 1999;52: 233–237.CrossRefGoogle ScholarPubMed
Fisher, BJ, Gaspar, LE, Noone, B. Giant pituitary adenomas: role of radiotherapy. Int J Radiat Oncol Biol Phys 1993;25: 677–681.CrossRefGoogle ScholarPubMed