Brain tumors in patients primarly treated psychiatrically
Introduction. Psychiatric symptoms are not rare manifestations of brain tumors. Brain tumors presented by symptoms of raised intracranial pressure, focal neurological signs, or convulsions are usually first seen by the neurologist or less frequently by the neurosurgeon in routine diagnostic proc...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2011-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501109809I.pdf |
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| author | Ignjatović-Ristić Dragana Pušičić Vesna Pejović Sanja Đukić-Dejanović Slavica Milovanović Dragan R. Ravanić Dragan B. Janjić Vladimir |
| author_facet | Ignjatović-Ristić Dragana Pušičić Vesna Pejović Sanja Đukić-Dejanović Slavica Milovanović Dragan R. Ravanić Dragan B. Janjić Vladimir |
| author_sort | Ignjatović-Ristić Dragana |
| collection | DOAJ |
| description | Introduction. Psychiatric symptoms are not rare manifestations of brain tumors. Brain tumors presented by symptoms of raised intracranial pressure, focal neurological signs, or convulsions are usually first seen by the neurologist or less frequently by the neurosurgeon in routine diagnostic procedures. On the other hand, when psychiatric symptoms are the first manifestation in “neurologically silent” brain tumors, the patients are sent to the psychiatrist for the treatment of psychiatric symptoms and brain tumors are left misdiagnosed for a long period of time. Case Report. We presented three patients with the diagnosed brain tumor where psychiatrist had been the first specialist to be consulted. In all three cases neurological examination was generally unremarkable with no focal signs or features of raised intracranial pressure. CT scan demonstrated right insular tumor in a female patient with obsessive-compulsive disorder (OCD); right parietal temporal tumor in a patient with delusions and depression and left frontal tumor in a patient with history of alcohol dependency. Conclusion. Psychiatric symptoms/disorders in patients with brain tumors are not specific enough and can have the same clinical presentation as the genuine psychiatric disorder. Therefore, we emphasize the consideration of neuroimaging in patients with abrupt beginning of psychiatric symptoms, in those with a change in mental status, or when headaches suddenly appear or in cases of treatment resistant psychiatric disorders regardless the lack of neurological symptoms. |
| format | Article |
| id | doaj-art-358e7c83c3e64f1c9dab01d6900175f2 |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-358e7c83c3e64f1c9dab01d6900175f22025-08-20T02:24:07ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502011-01-0168980981410.2298/VSP1109809IBrain tumors in patients primarly treated psychiatricallyIgnjatović-Ristić DraganaPušičić VesnaPejović SanjaĐukić-Dejanović SlavicaMilovanović Dragan R.Ravanić Dragan B.Janjić VladimirIntroduction. Psychiatric symptoms are not rare manifestations of brain tumors. Brain tumors presented by symptoms of raised intracranial pressure, focal neurological signs, or convulsions are usually first seen by the neurologist or less frequently by the neurosurgeon in routine diagnostic procedures. On the other hand, when psychiatric symptoms are the first manifestation in “neurologically silent” brain tumors, the patients are sent to the psychiatrist for the treatment of psychiatric symptoms and brain tumors are left misdiagnosed for a long period of time. Case Report. We presented three patients with the diagnosed brain tumor where psychiatrist had been the first specialist to be consulted. In all three cases neurological examination was generally unremarkable with no focal signs or features of raised intracranial pressure. CT scan demonstrated right insular tumor in a female patient with obsessive-compulsive disorder (OCD); right parietal temporal tumor in a patient with delusions and depression and left frontal tumor in a patient with history of alcohol dependency. Conclusion. Psychiatric symptoms/disorders in patients with brain tumors are not specific enough and can have the same clinical presentation as the genuine psychiatric disorder. Therefore, we emphasize the consideration of neuroimaging in patients with abrupt beginning of psychiatric symptoms, in those with a change in mental status, or when headaches suddenly appear or in cases of treatment resistant psychiatric disorders regardless the lack of neurological symptoms.http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501109809I.pdfbrain neoplasmsmental disorderssigns and symptomsdiagnosisdiagnosic errorstreatment outcome |
| spellingShingle | Ignjatović-Ristić Dragana Pušičić Vesna Pejović Sanja Đukić-Dejanović Slavica Milovanović Dragan R. Ravanić Dragan B. Janjić Vladimir Brain tumors in patients primarly treated psychiatrically Vojnosanitetski Pregled brain neoplasms mental disorders signs and symptoms diagnosis diagnosic errors treatment outcome |
| title | Brain tumors in patients primarly treated psychiatrically |
| title_full | Brain tumors in patients primarly treated psychiatrically |
| title_fullStr | Brain tumors in patients primarly treated psychiatrically |
| title_full_unstemmed | Brain tumors in patients primarly treated psychiatrically |
| title_short | Brain tumors in patients primarly treated psychiatrically |
| title_sort | brain tumors in patients primarly treated psychiatrically |
| topic | brain neoplasms mental disorders signs and symptoms diagnosis diagnosic errors treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2011/0042-84501109809I.pdf |
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