Considering iatrogenic psychosis after malignant glioma resection.
It is generally well known that medial temporal lobe resections have been associated with a variety of postoperative neuropsychiatric disturbances. Most of the neurosurgical literature on psychiatric disturbances after a temporal lobectomy concern patients with a strong history of epilepsy; however, relatively few articles have been reported due to a mesial temporal lobectomy following tumour removal. We report the case of a patient who underwent a gross total resection of a malignant astrocytoma in the temporal lobe who developed transient psychosis. Difficulties in diagnosing and predicting this condition are discussed as along with management considerations.
Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Ashish Harish
AH
Shah
Catherine E
CE
Gordon
Amade
A
Bregy
Nirav
N
Shah
Ricardo Jorge
RJ
Komotar
D001254:Astrocytoma / Q000150:complications / Q000601:surgery*; D001932:Brain Neoplasms / Q000150:complications / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D010258:Paranoid Behavior / Q000209:etiology; D011183:Postoperative Complications; D011618:Psychotic Disorders / Q000209:etiology*; D059020:Suicidal Ideation; D013702:Temporal Lobe / Q000601:surgery*