title: Multiple Meningioma in a Patient of Bipolar Disorder: The Dilemma of Detecting Structural Brain Lesions in the Backdrop of a Long Standing Psychiatric Illness.
abstract: Multiple meningioma often can be clinically silent and may present with only psychiatric symptoms. We report a case of 43-year-old, right handed woman with a 23 year history of long standing bipolar affective disorder, who presented with a mixed episode with psychotic symptoms which did not respond to usual treatment and was further complicated with a different set of symptomatology. MRI brain revealed multiple dural based mass lesions identified to be multiple meningiomas. Patient's symptoms improved after gamma knife stereotactic radiosurgery for the multiple meningioma. Our finding illustrates the need to assess for brain lesions in presence of atypical symptoms, along with unresponsiveness to traditional management with psychotropic medications in patients with bipolar affective disorders.
authors.affiliation: Senior Resident, Department of Psychiatry, All India Institute of Medical Sciences , New Delhi, India .
authors.forename: Ananya
authors.initials: A
authors.lastname: Mahapatra
authors.affiliation: Associate Professor, Department of Psychiatry, All India Institute of Medical Sciences , New Delhi, India .
authors.forename: Mamta
authors.initials: M
authors.lastname: Sood
authors.affiliation: Professor and Head, Department of Psychiatry, All India Institute of Medical Sciences , New Delhi, India .
authors.forename: Sudhir Kumar
authors.initials: SK
authors.lastname: Khandelwal
keywords: Psychiatric symptoms; Psychotropic medications; Stereotactic radiosurgery