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First episode psychosis and an underlying cerebellar tumour

Published online by Cambridge University Press:  13 June 2014

Nnamdi Nkire ,
Helen Barry  and
Vincent Russell
Nnamdi Nkire
Affiliation:
Cavan-Monaghan First Episode Psychosis Study, Department of Psychiatry, Cavan General Hospital, Cavan, Ireland
Helen Barry
Affiliation:
Department of Neuropsychiatry, Beaumont Hospital, Dublin 9, Ireland
Vincent Russell
Affiliation:
Department of Psychiatry, RCSI and Clinical Director, Cavan-Monaghan Mental Health Services, Cavan General Hospital, Cavan, Ireland
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Abstract

We report on the case of a middle aged lady who was referred by her GP with what appeared to be a case of first episode psychosis. Following assessment and investigation an underlying cerebellar tumour was identified. Our aim is to draw attention to the ongoing debates regarding the possible role of the cerebellum in psychosis and cognition and on neuroimaging as a diagnostic modality in cases of first episode psychosis.

Keywords

First episode psychosisCerebellar tumourNeuroimaging
Type
Case reports
Information
Irish Journal of Psychological Medicine , Volume 28 , Issue 4 , December 2011 , pp. 229 - 231
Copyright
Copyright © Cambridge University Press 2011

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References

1.Wooley, J, McGuire, P. Neuroimaging in schizophrenia: what does it tell the clinician? Adv Psych Treat 2005; 11: 195–202.CrossRefGoogle Scholar
2.American Psychiatric Association. Practice guideline for the treatment of patients with schizophrenia. Arlington, VA: American Psychiatric Publishing, 2004.Google Scholar
3.Albion, E, Tsourapas, A, Frew, Eet al.Structural neuroimaging in psychosis: a systematic review and economic evaluation. Health Tech Assess 2008; 12(18): iii–iv.Google Scholar
4.Lisanby, SH, Kohler, C, Swanson, CL, Gur, RE. Psychosis secondary to brain tumour. Semin Clin Neuropsych 1998; 3: 12–22.Google Scholar
5.Schamhmann, J. Dysmetria of thought: clinical consequences of cerebellar dysfunction on cognition and affect. Trends Cogn Sci 1998; 2: 362–371.CrossRefGoogle Scholar
6.Gillig, PM, Sanders, RD. Psychiatry, neurology and the role of the cerebellum. Psych (edgmonton) 2010; 7(9): 38–43.Google ScholarPubMed
7.Mong-Liang, L, I-Jin, Y. Onset of psychosis after cerebellum pathology: a case report. Gen Hosp Psych 2001; 23(1): 41–42.Google Scholar
8.Reuven, S. Psychotic behaviour associated with cerebellar pathology. Int J Neurosci 1993; 71(1-4): 1–7.Google Scholar
9.Andreasen, NC, Nopoulos, P, O'Leary, DS, Miller, DD, Wassink, T, Flaum, M. Defining the phenotype of schizophrenia: cognitive dysmetria and its neural mechanism. Biol Psych 1999; 46: 908–920.CrossRefGoogle Scholar
10.Martin, P, Albers, M. Cerebellum and schizophrenia: a selective review. Schiz Bull 1995: 21(2): 241–50.CrossRefGoogle ScholarPubMed
11.Pollak, L, Klein, C, Rabey, JM, Schiffer, J. Posterior fossa lesions associated with neuropsychiatric symptomatology. Int J Neurosci 1996; 87(3-4): 119–26.CrossRefGoogle ScholarPubMed
12.Andreasen, NC, Pierson, R. The role of the cerebellum in schizophrenia. Biol Psych 2008; 64(2): 81–8.CrossRefGoogle ScholarPubMed
13.Picard, H, Amado, I, Mouchet-Mages, S, Olie, J-P, Krebs, M-O.The role of the cerebellum in schizophrenia: an update of clinical, cognitive, and functional Evidences. Schiz Bull 2008; 34(1): 155–72.CrossRefGoogle ScholarPubMed
14.Turner, R, Schiavello, A. The cerebellum in schizophrenia: a case of intermittent ataxia and psychosis- clinical, cognitive and neuroanatomical correlates. J Neuropsych Clin Neurosci 2004; 16: 400–408.CrossRefGoogle ScholarPubMed