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Diencephalic tumours presenting as psychosis

Published online by Cambridge University Press:  24 June 2014

Y. Izci ,
T. Karlidere ,
U. Caliskan  and
K. M. Akay
Y. Izci*
Affiliation:
Department of Neurosurgery
T. Karlidere
Affiliation:
Department of Psychiatry, School of Medicine, GATA, Ankara, Turkey
U. Caliskan
Affiliation:
Department of Psychiatry, School of Medicine, GATA, Ankara, Turkey
K. M. Akay
Affiliation:
Department of Neurosurgery
*
Maresal Cakmak Asker Hastanesi, Beyin Cerrahisi Servisi, 25100 Yenisehir-Erzurum Turkey. Tel: +90 442234 70 48; Fax: + 90 442317 22 63; E-mail: yusufizci@yahoo.com
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Abstract

Background:

Diencephalic tumours are usually presented with the sign and symptoms of increased intracranial pressure, endocrinological changes and visual disturbances. Psychiatric manifestation of such rare tumours is not well known.

Objective:

To investigate the challenges and benefits of psychiatric evaluation on the diagnosis of diencephalic tumours and to emphasize the presence of psychosis as an initial phenomenon.

Methods and results:

Two cases who presented with the characteristic symptoms of psychosis and diagnosed diencephalic tumour are reported. A detailed radiological examination confirmed such diagnosis in both cases and surgical treatment was done.

Conclusion:

First, all patients who presented with a history of unexplained behaviour change must be evaluated by psychiatrists to exclude an organic pathology. Secondly, until the diagnosis of diencephalic tumour is confirmed, the surgical management must be performed.

Keywords

diencephalic tumourpsychosis
Type
Case Report
Information
Acta Neuropsychiatrica , Volume 15 , Issue 2 , April 2003 , pp. 97 - 101
Copyright
Copyright © 2003 Blackwell Munksgaard

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