COGNITIVE AND PSYCHOTIC SYMPTOMS IN A PATIENT WITH INFRATENTORIAL ARACHNOID CYST: CASE REPORT

被引:2
作者
Skaric, Maja [1 ]
Margetic, Branka Aukst [2 ]
Dijakovic, Anamarija Bogovic [2 ]
Karlovic, Dalibor [2 ]
机构
[1] Dr Ivan Barbot Neuropsychiat Hosp, Dept Psychiat, Popovaca, Croatia
[2] Sestre Milosrdnice Univ Hosp Ctr, Dept Psychiat, Zagreb, Croatia
关键词
Arachnoid cyst; Cognitive disorder; Psychotic symptoms; FOSSA; IMPROVEMENT;
D O I
10.20471/acc.2021.60.02.18
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present a case of a patient with treatment resistant hallucinatory experiences with incidental finding of an arachnoid cyst localized in the posterior infratentorial cranial fossa dorsally to the cerebellum. Psychological testing revealed significant deficit of cognitive functions to the level of mild intellectual disability in a person that had previously finished high school with good grades. A combination of clozapine and lamotrigine led to significant improvement in mood and reduction of hallucinations, but without improvement in cognitive functions. We also performed a literature review of previously published case reports or case series of co-occurring posterior fossa arachnoid cyst and schizophrenia or psychosis or psychiatric symptoms using PubMed search and discuss some controversies considering their treatment outcome.
引用
收藏
页码:304 / 308
页数:5
相关论文
共 29 条
[1]   Prevalence and natural history of arachnoid cysts in adults [J].
Al-Holou, Wajd N. ;
Terman, Samuel ;
Kilburg, Craig ;
Garton, Hugh J. L. ;
Muraszko, Karin M. ;
Maher, Cormac O. .
JOURNAL OF NEUROSURGERY, 2013, 118 (02) :222-231
[2]   The role of the cerebellum in schizophrenia [J].
Andreasen, Nancy C. ;
Pierson, Ronald .
BIOLOGICAL PSYCHIATRY, 2008, 64 (02) :81-88
[3]   Outcome in children with space-occupying posterior fossa arachnoid cysts [J].
Boltshauser, E ;
Martin, F ;
Altermatt, S .
NEUROPEDIATRICS, 2002, 33 (03) :118-121
[4]   Cerebellar Contributions to Persistent Auditory Verbal Hallucinations in Patients with Schizophrenia [J].
Cierpka, Maximilian ;
Wolf, Nadine D. ;
Kubera, Katharina M. ;
Schmitgen, Mike M. ;
Vasic, Nenad ;
Frasch, Karel ;
Wolf, Robert Christian .
CEREBELLUM, 2017, 16 (5-6) :964-972
[5]   Neuropsychological improvement after posterior fossa arachnoid cyst drainage [J].
Cuny, M. L. ;
Pallone, M. ;
Piana, H. ;
Boddaert, N. ;
Sainte-Rose, C. ;
Vaivre-Douret, L. ;
Piolino, P. ;
Puget, S. .
CHILDS NERVOUS SYSTEM, 2017, 33 (01) :135-141
[6]   Arachnoid cyst in a patient with psychosis: Case report [J].
da Silva J.A. ;
Alves A. ;
Talina M. ;
Carreiro S. ;
Guimarães J. ;
Xavier M. .
Annals of General Psychiatry, 6 (1)
[7]  
Dahman AB, 2017, J SURG CASE REP, DOI 10.1093/jscr/rjx162
[8]  
DAS Soumitra, 2018, Shanghai Arch Psychiatry, V30, P202, DOI 10.11919/j.issn.1002-0829.218005
[9]   BRAIN GLUCOSE-UTILIZATION IN ACQUIRED CHILDHOOD APHASIA ASSOCIATED WITH A SYLVIAN ARACHNOID CYST - RECOVERY AFTER SHUNTING AS DEMONSTRATED BY PET [J].
DEVOLDER, AG ;
MICHEL, C ;
THAUVOY, C ;
WILLEMS, G ;
FERRIERE, G .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1994, 57 (03) :296-300
[10]   Intracranial arachnoid cysts: impairment of higher cognitive functions and postoperative improvement [J].
Gjerde, Priyanthi B. ;
Schmid, Marit ;
Hammar, Asa ;
Wester, Knut .
JOURNAL OF NEURODEVELOPMENTAL DISORDERS, 2013, 5