title: Impulsive behavior and recurrent major depression associated with dandy-walker variant.
abstract: Reported herein is a case of recurrent major depression with impulse control difficulty in a 33-year-old man with Dandy-Walker variant. He was diagnosed as having major depressive disorder a year before he presented himself to the authors' hospital, and had a history of three-time admission to a psychiatric unit in the previous 12 months. He was readmitted and treated with sodium valporate 1,500 mg/day, mirtazapine 45 mg/day, and quetiapine 800 mg/day during the three months that he was confined in the authors' hospital, and the symptoms were reduced within three months but remained thereafter. This is the only case so far reporting recurrent depression with impulse control difficulty associated with Dandy-Walker variant. This case implies that any cerebellar lesion may cause the appearance of recurrent depression with impulse control difficulty in major depressive disorder.
authors.affiliation: Department of Psychiatry, Konkuk University Chungju Hospital, Konkuk University, Chungju, Republic of Korea.
authors.forename: Ji Hyun
authors.initials: JH
authors.lastname: Kim
authors.forename: Tae Ho
authors.initials: TH
authors.lastname: Kim
authors.forename: Young Chil
authors.initials: YC
authors.lastname: Choi
authors.forename: Soon-Cheol
authors.initials: SC
authors.lastname: Chung
authors.forename: Seok Woo
authors.initials: SW
authors.lastname: Moon
keywords: Aggression; Cerebellum; Dandy-Walker variant; Depression; Impulse control