Anton's syndrome due to a giant anterior fossa meningioma. The problem of routine use of advanced diagnostic imaging in psychiatric care.
We present a case of blindness and Anton's syndrome in a psychiatric patient with late diagnosis of a giant frontal meningioma. The criteria for advanced diagnostic imaging in the psychiatric population are discussed. We conclude that MR or CT scan is indicated in psychiatric in-patients who fail to improve with standard psychiatric treatment. This strategy should be submitted to a cost-benefit analysis.
Wessling
H
H
Unit of Neurosurgery, Joan XXIII University Hospital, Tarragona, Spain. wessling@hjxxiii.scs.es
Simosono
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CL
Escosa-Bagé
M
M
de Las Heras-Echeverría
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P
D000328:Adult; D019575:Blindness, Cortical / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D003337:Corpus Callosum / Q000473:pathology / Q000601:surgery; D035262:Cranial Fossa, Anterior / Q000000981:diagnostic imaging / Q000473:pathology*; D019299:Decompression, Surgical; D003951:Diagnostic Errors; D018450:Disease Progression; D004827:Epilepsy / Q000209:etiology / Q000503:physiopathology; D005625:Frontal Lobe / Q000473:pathology / Q000601:surgery; D006778:Hospitals, Psychiatric / Q000592:standards; D006801:Humans; D008607:Intellectual Disability / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008577:Meningeal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D008579:Meningioma / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D016743:Mental Competency; D001523:Mental Disorders / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D019635:Neurosurgical Procedures; D009900:Optic Nerve / Q000473:pathology; D012562:Schizophrenia, Disorganized / Q000175:diagnosis / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome