title: [Brain tumors in patients primarly treated psychiatrically].
abstract: BACKGROUND
  Psychiatric symptoms are not rare manifestations of brain tumors. Brain tumors presented by symptoms of raised intracranial pressure, focal neurological signs, or convulsions are usually first seen by the neurologist or less frequently by the neurosurgeon in routine diagnostic procedures. On the other hand, when psychiatric symptoms are the first manifestation in "neurologically silent" brain tumors, the patients are sent to the psychiatrist for the treatment of psychiatric symptoms and brain tumors are left misdiagnosed for a long period of time.
  
  
  METHODS
  We presented three patients with the diagnosed brain tumor where psychiatrist had been the first specialist to be consulted. In all three cases neurological examination was generally unremarkable with no focal signs or features of raised intracranial pressure. CT scan demonstrated right insular tumor in a female patient with obsessive-compulsive disorder (OCD); right parietal temporal tumor in a patient with delusions and depression and left frontal tumor in a patient with history of alcohol dependency.
  
  
  CONCLUSIONS
  Psychiatric symptoms/disorders in patients with brain tumors are not specific enough and can have the same clinical presentation as the genuine psychiatric disorder. Therefore, we emphasize the consideration of neuroimaging in patients with abrupt beginning of psychiatric symptoms, in those with a change in mental status, or when headaches suddenly appear or in cases of treatment resistant psychiatric disorders regardless the lack of neurological symptoms.
authors: Klinicki centar Kragujevac, Kragujevac, Srbija. draganaristic4@gmail.com
authors: Dragana Ignjatović
authors: DI
authors: Ristić
authors: Pusicić
authors: P
authors: Vesna
authors: Pejović
authors: P
authors: Sanja
authors: Slavica Djukić
authors: SD
authors: Dejanović
authors: Dragan R
authors: DR
authors: Milovanović
authors: Dragan B
authors: DB
authors: Ravanić
authors: Janjić
authors: J
authors: Vladimir
mesh_terms: D000328:Adult; D001932:Brain Neoplasms / Q000150:complications / Q000175:diagnosis*; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis*; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000209:etiology