Treatment of Acute Psychosis with Second-Generation Antipsychotics in a Patient with Left Temporal Lobe Lesion

We present a case of rapid onset severe psychosis followed by suicide attempt in a United States Navy sailor. Investigation revealed a left temporal lobe brain mass suspicious for low-grade glioma. After hospitalization and medical management with olanzapine and lurasidone the patient’s psychosis im...

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Main Authors: Richard Shehane, Steve Miller, Luke Suber, Miranda Chakos
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2018/9839252
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author Richard Shehane
Steve Miller
Luke Suber
Miranda Chakos
author_facet Richard Shehane
Steve Miller
Luke Suber
Miranda Chakos
author_sort Richard Shehane
collection DOAJ
description We present a case of rapid onset severe psychosis followed by suicide attempt in a United States Navy sailor. Investigation revealed a left temporal lobe brain mass suspicious for low-grade glioma. After hospitalization and medical management with olanzapine and lurasidone the patient’s psychosis improved. The purpose of this paper is to add to the existing case reports that suggest a relationship between temporal lobe lesions and psychiatric illness, specifically psychosis. In addition, this case adds insight into the effectiveness of medical therapy for brain tumor patients that are not immediate candidates for neurosurgical intervention.
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spelling doaj-art-a06b30bc1fc94e27b5bc1d06db6d56942025-08-20T03:38:08ZengWileyCase Reports in Psychiatry2090-682X2090-68382018-01-01201810.1155/2018/98392529839252Treatment of Acute Psychosis with Second-Generation Antipsychotics in a Patient with Left Temporal Lobe LesionRichard Shehane0Steve Miller1Luke Suber2Miranda Chakos3Department of Psychiatry, Naval Medical Center Portsmouth, Portsmouth, VA, USADepartment of Psychiatry, Naval Medical Center Portsmouth, Portsmouth, VA, USADepartment of Psychiatry, Naval Medical Center Portsmouth, Portsmouth, VA, USADepartment of Psychiatry, Naval Medical Center Portsmouth, Portsmouth, VA, USAWe present a case of rapid onset severe psychosis followed by suicide attempt in a United States Navy sailor. Investigation revealed a left temporal lobe brain mass suspicious for low-grade glioma. After hospitalization and medical management with olanzapine and lurasidone the patient’s psychosis improved. The purpose of this paper is to add to the existing case reports that suggest a relationship between temporal lobe lesions and psychiatric illness, specifically psychosis. In addition, this case adds insight into the effectiveness of medical therapy for brain tumor patients that are not immediate candidates for neurosurgical intervention.http://dx.doi.org/10.1155/2018/9839252
spellingShingle Richard Shehane
Steve Miller
Luke Suber
Miranda Chakos
Treatment of Acute Psychosis with Second-Generation Antipsychotics in a Patient with Left Temporal Lobe Lesion
Case Reports in Psychiatry
title Treatment of Acute Psychosis with Second-Generation Antipsychotics in a Patient with Left Temporal Lobe Lesion
title_full Treatment of Acute Psychosis with Second-Generation Antipsychotics in a Patient with Left Temporal Lobe Lesion
title_fullStr Treatment of Acute Psychosis with Second-Generation Antipsychotics in a Patient with Left Temporal Lobe Lesion
title_full_unstemmed Treatment of Acute Psychosis with Second-Generation Antipsychotics in a Patient with Left Temporal Lobe Lesion
title_short Treatment of Acute Psychosis with Second-Generation Antipsychotics in a Patient with Left Temporal Lobe Lesion
title_sort treatment of acute psychosis with second generation antipsychotics in a patient with left temporal lobe lesion
url http://dx.doi.org/10.1155/2018/9839252
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