title: [Resident old-age psychiatrists need training in the interpretation of cerebral imaging: a pituitary incidentaloma].
abstract: Due to the increased use of cerebral imaging with higher sensitivity, the old-age psychiatrist is more likely to find unexpected lesions. We report on a 73-year-old man with schizoaffective disorder and increasing cognitive deterioration. When given a diagnostic MRI cerebrum a pituitary incidentaloma was found. An overview of the literature shows a high prevalence of pituitary incidentalomas. Complications are generally rare, but one should be alert. The old-age psychiatrist should take the lead in the assessment and interpretation of such imaging results. The relevant skills for this task should be developed in the field of old-age psychiatry during the residency training in psychiatry.
authors: M J
authors: MJ
authors: van Woelderen
authors: R M
authors: RM
authors: Marijnissen
authors: S C
authors: SC
authors: Stalpers-Konijnenburg
authors: R C
authors: RC
authors: Oude Voshaar
mesh_terms: D000236:Adenoma / Q000175:diagnosis*; D000368:Aged; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology; D005852:Geriatric Psychiatry; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D010911:Pituitary Neoplasms / Q000150:complications / Q000175:diagnosis*; D011618:Psychotic Disorders / Q000175:diagnosis / Q000209:etiology