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The psychiatric presentation of a cerebellopontine angle tumour

Published online by Cambridge University Press:  13 June 2014

Chris Ball
Chris Ball*
Affiliation:
United Medical and Dental Schools, Guy's Campus, Guy's Hospital, St. Thomas Street, London, SE1 9RT, England
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Abstract

A 54 year old woman presenting to the psychiatric services with persecutory delusions, complex visual hallucinations and fluctuating levels of consciousness was discovered to have a meningioma occupying the cerebellopontine angle. The psychiatric symptomatology of cerebellopontine angle lesions is reviewed and the pathogenic mechanisms are explored in the light of the symptomatology observed.

Keywords

Cerebellopontine angleImagingHallucinationsBrainstemDelirium
Type
Case Reports
Information
Irish Journal of Psychological Medicine , Volume 13 , Issue 1 , March 1996 , pp. 21 - 23
Copyright
Copyright © Cambridge University Press 1996

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References

1.Hart, RG, Davenport, J. Diagnosis of acoustic neuroma. Neurosurgery 1981; 71: 450–63.CrossRefGoogle Scholar
2.Valavanis, A, Schubiger, O, Naidich, TP. Clinical imaging of the cerebellopontine angle. Springer-Verlag: Berlin, 1987.CrossRefGoogle Scholar
3.Press, GA, Hesselink, JR. MR Imaging of the cerebellopontine angle and internal auditory canal lesions at 1.5T. ANJR. 1988. 241–252. 4.Google Scholar
4.Daniels, DL, Millen, SJ, Meyer, GA, Pojunas, KA, Kilgrove, DP, Shaffer, KA, Williams, AL, Haughton, VM. MR detection of tumor in the internal auditory canal. ANJR 1987; 8: 249–52.Google ScholarPubMed
5.Moffat, DA, Hardy, DG. Diagnosis and surgical management of acoustic neuroma: is it cost effective? J Roy Soc Med 1989; 82: 329–32.CrossRefGoogle ScholarPubMed
6.Symon, L, Bordi, LT, Compton, JS, Sabin, IH, Sayin, E. Acoustic neuroma: a review of 392 cases. Br J Neurosurgery 1989; 3: 343–8.CrossRefGoogle ScholarPubMed
7.Edwards, CH, Patterson, JH. A review of symptoms and signs of acoustic fibromata. Brain 1951; 74: 144–90.CrossRefGoogle Scholar
8.Mathew, GD, Facer, GU, Suh, KW, Houser, OW, O'Brien, PC. Symptoms, findings and methods of diagnosis in patients with acoustic neuroma. Laryngoscope 1978; 88: 1893–903.CrossRefGoogle ScholarPubMed
9.Kasantikul, V, Nesty, MG, Glasscock, ME III, Hays, JW. Acoustic neurilemmoma: clinico-anatomical study of 103 patients. J Neurosurgery 1980; 52: 28–35.CrossRefGoogle Scholar
10.Campbell, E, Whitfield, RD. Posterior fossa meningiomas. J Neurosurgery 1947; 6: 131–53.Google Scholar
11.Parker, SW, Davies, KR, Ojemann, RG. Comparison of cerebellopontine angle meningiomas and acoustic neuromas. Neurology 1978; 28: 361.Google Scholar
12.Hooper, R, Siu, K, Cousins, V. Temporal bone meningiomas. Aust New Zeal J Surgery 1990; 60: 779–86.CrossRefGoogle ScholarPubMed
13.Maniglia, AJ. Intra and extracranial meningiomas involving the temporal bone. Laryngoscope 1978; 88 (supplement 12): 1–88.CrossRefGoogle ScholarPubMed
14.Iplikcioglu, AC, Ozer, F, Benali, K, Bertan, V, Ruacan, S. Malignant teratoma of the cerebellopontine angle; case report. Neurosurgery 1990; 27: 137–9.CrossRefGoogle ScholarPubMed
15.Rohringer, M, Sutherland, GR, Louw, DF, Sima, AAF. Incidence and clinicopathological features of meningioma. J Neurosurgery 1989; 71: 665–72.CrossRefGoogle ScholarPubMed
16.Cushing, H. Tumours of the nervous acousticus and the syndrome of the cerebellopontine angle. WB Saunders & Company: Philadelphia, 1917.Google Scholar
17.Cushing, H, Eisenhardt, L. Meningiomas: their classification, regional behaviour, life history and surgical end results. Charles C Thomas: Springfield Illinois, 1938.Google Scholar
18.Woodcock, SM. Mental symptoms in patients with acoustic neuromas. J Neurol Neurosurg Psychiatr 1967; 30: 587.CrossRefGoogle ScholarPubMed
19.Markham, JW, Fager, CA, Horrax, GF, Poppen, JL. Meningiomas of the posterior fossa. Arch Neurol Psychiatry 1955; 74: 163–70.CrossRefGoogle ScholarPubMed
20.Shepherd, RH, Wadia, NH. Some observations on atypical features in acoustic neuroma. Brain 1956; 79: 282–318.CrossRefGoogle Scholar
21.Michael, WF. Posterior fossa aneurysms simulating tumours. J Neurol Neurosurg Psychiatry 1974; 37: 218–23.CrossRefGoogle ScholarPubMed
22.Pollack, IF, Sekhar, LN, Jannetta, PJ, Janecka, IP. Neurilemomas of the trigeminal nerve. J Neurosurgery 1989; 70: 737–45.CrossRefGoogle ScholarPubMed
23.Nager, GT. Meningiomas involving the temporal bone: clinical and pathological aspects. Charles C Thomas: Springfield, Illinois, 1964.CrossRefGoogle Scholar
24.Achari, AN, Colover, J. Posterior fossa tumours with pathological laughter. J Am Med Assoc 1976; 235: 146971.CrossRefGoogle ScholarPubMed
25.Leopold, N. Gaze-induced laughter. J Neurol Neurosurg Psychiatry 1977; 40: 8157.CrossRefGoogle ScholarPubMed
26.Scott, M. Transitory psychotic behaviour following operations for tumours of the cerebellopontine angle. Psychiatrica, Neurologia, Neurochirugia 1970; 73: 37–48.Google Scholar
27.Dobrokhotova, TA, Faller, TO. Concerning psychopathological symptomatology in tumours of the posterior brain cavity. Zhurnal Neuropathologi i Psikiatrii 1960; 8: 1225–30.Google Scholar
(Cited in Lishman, W.A.Organic Psychiatry. Second Edition. Blackwell. Oxford. 1988.)Google Scholar
28.Feinstein, A, Ron, MA. Psychosis asociated with demonstrable brain disease. Psychol Med 1990; 20: 793–803.CrossRefGoogle Scholar
35.Erickson, LS, Sorenson, GD, McGavran, MH. A review of 140 acoustic neuromas (neurilemmoma). Laryngoscope 1965; 75: 601–27.CrossRefGoogle ScholarPubMed
36.Brain, WR. Proceedings of the Royal Society of Medicine 1931; 24: 1002–4.Google Scholar
37.Rau, H. Zur Klinik und Therapie der Intermittierrenden Vertebrobasilaren Insuffizienz. Schweizerische Medizinische Wochenschrift 1970; 100: 1369–74.Google Scholar
38.Price, J, Whitlock, FA, Hall, RT. The psychiatry of vertebro-basilar insufficiency with a case report. Psychiatrica Clinica 1983; 16: 26–44.Google Scholar
39.Vertes, RP. Fundamentals of brainstem anatomy: a behavioural perspective. In: Brainstem mechanisms of behaviour. Ed: Klemm, WR, Vertes, RP. Wiley-Liss: New York, 1990.Google Scholar
40.Lipowski, ZJ. Delirium: acute confusional states. Oxford University Press: Oxford, 1990.Google Scholar
41.Zileli, M, Idiman, F, Hicdonmez, T, Ovul, I, Tuncby, E. A comparative study of brain-stem evoked potentials and blink reflexes in posterior fossa tumour patients J Neurosurgery 1988; 69: 660–8.CrossRefGoogle Scholar
42.House, JW, Brackman, DE. Brainstem audiometry in neuro-otological diagnosis. Arch Otolaryngology 1979; 105: 305–9.CrossRefGoogle Scholar
43.Imaging patients with suspected acoustic neuroma. Editorial. Lancet 1988; 1294.Google Scholar
44.Johnstone, EC, Macmillan, JF, Crow, TJ. The occurrence of organic disease of possible aetiological significance in a population of 268 cases of first episode schizophrenia. Psychol Med 1987; 17: 371–9.CrossRefGoogle Scholar