Brain tumor and psychiatric manifestations: a case report and brief review.
Brain tumors may present multiple psychiatric symptoms such as depression, personality change, abulia, auditory and visual hallucinations, mania, panic attacks, or amnesia. A case of a 79-year-old woman who presented with depressive symptoms but showed minimal neurological signs and symptoms is discussed. Neuroimaging revealed a brain tumor in the left parietal lobe, and patient underwent neurosurgical treatment and subsequently received chemotherapy and radiation. Some patients with neurologically silent brain tumors may present with psychiatric symptoms only. Therefore, we emphasize the consideration of neuroimaging in patients with a change in mental status regardless of a lack of neurological symptoms.
Department of Psychiatry, St John's Episcopal Hospital, Far Rockaway, New York 11691, USA. sdanan@ehs.org
Subramoniam
S
Madhusoodanan
Deepa
D
Danan
Ronald
R
Brenner
Olivera
O
Bogunovic
D000368:Aged; D000786:Anger; D001932:Brain Neoplasms / Q000150:complications* / Q000523:psychology* / Q000628:therapy; D003866:Depressive Disorder / Q000209:etiology*; D005260:Female; D005910:Glioma / Q000150:complications* / Q000523:psychology* / Q000628:therapy; D006801:Humans; D011595:Psychomotor Agitation / Q000209:etiology; D014057:Tomography, X-Ray Computed