title: [Cerebral accidents, psychic manifestations, spinocerebellar disturbances and brain tumour (author's transl)].
abstract: At the age of 35 years the patient was affected by epileptic attacks. Two years later psychic changes, vomiting and unsteadiness of gait were noted and not only in the EEG but also in the angiogram, the suspicion of a right hemisphere tumour was expressed. The operation was postponed because the patient's husband was afraid of complications. In the following years other doctors who were concerned with the diagnostic problem, either missed the significance of the existing symptoms or did not attach enough importance to them. As a result of an operation (uterine fibroids) and also because of a slight head injury, an increase in the neurological and psychiatric symptoms was brought about and fortunately this prepared the way for the correct treatment. After the operation there was a significant improvement not only in the psychiatric, but also in the neurological state. As a result of the advanced state of the tumour growth (oligodendroglioma) it was only possible to carry out a sub-total removal. A review of the case indicates that a closer neuropsychiatric and neurosurgical co-operation might have led, at the earliest ten or at the latest five years previously, to a successful outcome of the operation.
mesh_terms: D000328:Adult; D001259:Ataxia / Q000209:etiology*; D001932:Brain Neoplasms / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000209:etiology*; D009837:Oligodendroglioma / Q000150:complications* / Q000601:surgery; D012640:Seizures / Q000209:etiology*; D013997:Time Factors
vernacular_title: Zerebrale Anfälle, psychische Auffälligkeiten, spino-zerebelläre Störungen und Hirntumor. Kasuistisches Beispiel zum Nutzen einer psychiatrisch-neurologisch-neurochirurgischen Zusammenarbeit