Schizencephaly and psychosis: a rare association.
Schizencephaly is a rare malformation of the central nervous system defined as a gray matter-lined cleft filled with cerebrospinal fluid that extends from the pial surface to the ventricle. Few cases of association with psychosis were reported in the scientific literature. We present a case of a 46-year-old woman, admitted into a psychiatric hospital with crises of psychomotor agitation, disorganized and erotized behavior, persecutory and self-reference delusions, and auditory and visual hallucinations. She also reported seizures since her childhood. A head CT scan revealed a large subarachnoid space communication with the adjacent lateral ventricle in the topography of occipital, temporal, and parietal lobes to the right, suggestive of schizencephaly.
Hospital de Saúde Mental Professor Frota Pinto Rua Vicente Nobre Macedo, S/N, Messejana, 60841-110 Fortaleza, CE, Brazil.
Matias Carvalho Aguiar
MC
Melo
Hospital de Saúde Mental Professor Frota Pinto Rua Vicente Nobre Macedo, S/N, Messejana, 60841-110 Fortaleza, CE, Brazil ; Universidade de Fortaleza, Av. Washington Soares, 1321, Edson Queiroz, 60841-110 Fortaleza, CE, Brazil.
Saulo Giovanni Castor
SG
Albuquerque
Hospital de Saúde Mental Professor Frota Pinto Rua Vicente Nobre Macedo, S/N, Messejana, 60841-110 Fortaleza, CE, Brazil.
José Henrique Sousa
JH
Luz
Hospital de Saúde Mental Professor Frota Pinto Rua Vicente Nobre Macedo, S/N, Messejana, 60841-110 Fortaleza, CE, Brazil ; Universidade de Fortaleza, Av. Washington Soares, 1321, Edson Queiroz, 60841-110 Fortaleza, CE, Brazil.
Alexandre Bastos
AB
Lima