Meningioma mimicking puerperal psychosis.
BACKGROUND
Meningiomas are slow-growing benign brain tumors. They can be sensitive to sex hormones, increasing in size with pregnancy and leading to clinical presentation either before or immediately after delivery. Initial symptoms and signs can present in the antenatal as well as the postnatal period.


METHODS
A patient presented with confusion associated with complaints of déjà vu and auditory hallucinations on day 1 postcesarean delivery. Meningioma was diagnosed by computed tomography and treated successfully with steroids, anticonvulsant, and craniotomy.


CONCLUSIONS
It is imperative to perform a thorough neurologic examination in a patient who presents with atypical psychiatric symptoms in the antenatal or postpartum period. Neuroimaging should be performed in the presence of any neurologic abnormality to exclude intracranial lesions such as meningioma.
Khong
Su-Yen
SY
Department of Obstetrics and Gynaecology, the Women's Centre, John Radcliffe Hospital, Oxford, United Kingdom. khongsuyen@doctors.org.uk
Leach
John
J
Greenwood
Catherine
C
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008579:Meningioma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011618:Psychotic Disorders / Q000209:etiology*; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery