Obstructive hydrocephalus caused by colloid cyst presenting as a schizophrenia-like psychosis

Mikkel Højlund, Pia Hansen, Willy Krone, Lene Høgh

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Resumé

This report presents a young woman with psychotic symptoms that were highly suspicious of schizophrenia. Previous attempts of antidepressant therapy of mood symptoms had been ineffective. However, she also presented with discrete signs of an underlying neurological condition, and as a part of the diagnostic workup, neuroimaging revealed ventriculomegaly. She was diagnosed with obstructive hydrocephalus and experienced full remission of psychotic symptoms after neurosurgical intervention with a ventriculoperitoneal shunt. This atypical presentation of obstructive hydrocephalus underlines the importance of neuroimaging in psychiatric differential diagnostics. Otherwise, this young woman had been diagnosed with schizophrenia, instead of organic delusional disorder secondary to a neurological condition, with possible irreversible damage to brain tissue as a consequence.
OriginalsprogEngelsk
Artikelnummer223037
TidsskriftBMJ Case Reports
Vol/bind2018
ISSN1757-790X
DOI
StatusUdgivet - 8. jun. 2018

Citer dette

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title = "Obstructive hydrocephalus caused by colloid cyst presenting as a schizophrenia-like psychosis",
abstract = "This report presents a young woman with psychotic symptoms that were highly suspicious of schizophrenia. Previous attempts of antidepressant therapy of mood symptoms had been ineffective. However, she also presented with discrete signs of an underlying neurological condition, and as a part of the diagnostic workup, neuroimaging revealed ventriculomegaly. She was diagnosed with obstructive hydrocephalus and experienced full remission of psychotic symptoms after neurosurgical intervention with a ventriculoperitoneal shunt. This atypical presentation of obstructive hydrocephalus underlines the importance of neuroimaging in psychiatric differential diagnostics. Otherwise, this young woman had been diagnosed with schizophrenia, instead of organic delusional disorder secondary to a neurological condition, with possible irreversible damage to brain tissue as a consequence.",
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Obstructive hydrocephalus caused by colloid cyst presenting as a schizophrenia-like psychosis. / Højlund, Mikkel; Hansen, Pia; Krone, Willy; Høgh, Lene.

I: BMJ Case Reports, Bind 2018, 223037, 08.06.2018.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Obstructive hydrocephalus caused by colloid cyst presenting as a schizophrenia-like psychosis

AU - Højlund, Mikkel

AU - Hansen, Pia

AU - Krone, Willy

AU - Høgh, Lene

PY - 2018/6/8

Y1 - 2018/6/8

N2 - This report presents a young woman with psychotic symptoms that were highly suspicious of schizophrenia. Previous attempts of antidepressant therapy of mood symptoms had been ineffective. However, she also presented with discrete signs of an underlying neurological condition, and as a part of the diagnostic workup, neuroimaging revealed ventriculomegaly. She was diagnosed with obstructive hydrocephalus and experienced full remission of psychotic symptoms after neurosurgical intervention with a ventriculoperitoneal shunt. This atypical presentation of obstructive hydrocephalus underlines the importance of neuroimaging in psychiatric differential diagnostics. Otherwise, this young woman had been diagnosed with schizophrenia, instead of organic delusional disorder secondary to a neurological condition, with possible irreversible damage to brain tissue as a consequence.

AB - This report presents a young woman with psychotic symptoms that were highly suspicious of schizophrenia. Previous attempts of antidepressant therapy of mood symptoms had been ineffective. However, she also presented with discrete signs of an underlying neurological condition, and as a part of the diagnostic workup, neuroimaging revealed ventriculomegaly. She was diagnosed with obstructive hydrocephalus and experienced full remission of psychotic symptoms after neurosurgical intervention with a ventriculoperitoneal shunt. This atypical presentation of obstructive hydrocephalus underlines the importance of neuroimaging in psychiatric differential diagnostics. Otherwise, this young woman had been diagnosed with schizophrenia, instead of organic delusional disorder secondary to a neurological condition, with possible irreversible damage to brain tissue as a consequence.

KW - hydrocephalus

KW - neuroimaging

KW - psychiatry

KW - psychotic disorders (incl schizophrenia)

KW - Colloid Cysts/diagnostic imaging

KW - Diagnosis, Differential

KW - Schizophrenia/diagnosis

KW - Tomography, X-Ray Computed/methods

KW - Humans

KW - Ventriculoperitoneal Shunt/methods

KW - Magnetic Resonance Imaging/methods

KW - Treatment Outcome

KW - Neuroimaging/standards

KW - Psychotic Disorders/etiology

KW - Young Adult

KW - Female

KW - Hydrocephalus/diagnostic imaging

U2 - 10.1136/bcr-2017-223037

DO - 10.1136/bcr-2017-223037

M3 - Journal article

C2 - 29884711

VL - 2018

JO - B M J Case Reports

JF - B M J Case Reports

SN - 1757-790X

M1 - 223037

ER -