Cerebellar cognitive affective syndrome presented as severe borderline personality disorder.
An increasing number of findings confirm the significance of cerebellum in affecting regulation and early learning. Most consistent findings refer to association of congenital vermis anomalies with deficits in nonmotor functions of cerebellum. In this paper we presented a young woman who was treated since sixteen years of age for polysubstance abuse, affective instability, and self-harming who was later diagnosed with borderline personality disorder. Since the neurological and neuropsychological reports pointed to signs of cerebellar dysfunction and dysexecutive syndrome, we performed magnetic resonance imaging of brain which demonstrated partially developed vermis and rhombencephalosynapsis. These findings match the description of cerebellar cognitive affective syndrome and show an overlap with clinical manifestations of borderline personality disorder.
Institute of Mental Health, Palmoticeva 37, 11000 Belgrade, Serbia.
Danilo
D
Pesic
Institute of Mental Health, Palmoticeva 37, 11000 Belgrade, Serbia.
Amir
A
Peljto
Institute of Mental Health, Palmoticeva 37, 11000 Belgrade, Serbia.
Biljana
B
Lukic
Institute of Mental Health, Palmoticeva 37, 11000 Belgrade, Serbia.
Maja
M
Milovanovic
Department of Psychology, Faculty of Philosophy, University of Belgrade, Čika Ljubina 18-20, 11000 Belgrade, Serbia.
Snezana
S
Svetozarevic
Institute of Mental Health, Palmoticeva 37, 11000 Belgrade, Serbia ; Belgrade University School of Medicine, Dr. Subotića 8, 11000 Belgrade, Serbia.
Dusica
D
Lecic Tosevski