Olfactory groove meningioma presenting with major depressive disorder symptoms: A case report

Abstract

Brain tumors without giving neurological symptoms yet; it can also occur with a wide range of psychiatric symptoms such as anxiety, panic attacks, depression, eating disorders, personality change, vision hallucinations and mania. Unfortunately, the diagnosis of brain tumor might be delayed in patients whose clinical symptoms are like these. Brain imaging techniques should be performed especially in patients who don't respond to psychiatric drug treatment and have no neurological symptoms. In this article, a female patient who presented to our psychiatry outpatient clinic with symptoms of depression, accompanied by psychosis symptoms in later periods, and whose mass was detected as a result of magnetic resonance imaging, is discussed in the light of literature studies. Here, we aimed to emphasize the importance of neurological examination and brain imaging methods in patients who come to psychiatry especially with atypical symptoms.

Keywords

• psychosis symptoms
• Depression
• neuroimaging
• brain tumors

Majör depresif bozukluk belirtileri ile başvuran olfaktör oluk menenjiyomu: Bir olgu sunumu

Öz

Beyin tümörleri henüz nörolojik semptomlar vermeden; anksiyete, panik atak, depresyon, yeme bozuklukları, kişilik değişikliği, görme halüsinasyonları ve mani gibi çok çeşitli psikiyatrik semptomlarla da ortaya çıkabilir. Ne yazık ki, klinik semptomları böyle olan hastalarda beyin tümörü tanısı gecikebilmektedir. Beyin görüntüleme teknikleri özellikle, psikiyatrik ilaç tedavisine cevap vermeyen ve nörolojik semptomları olmayan hastalarda mutlaka yapılmalıdır. Bu yazınımızda psikiyatri polikliniğimize depresyon belirtileri ile başvuran, ileri dönemlerde psikoz belirtilerinin de eşlik ettiği, çekilen kontrastlı beyin manyetik rezonans görüntüleme sonucunda kitle tespit edilen kadın hasta, literatür araştırmaları ışığında tartışılmaktadır. Biz burada özellikle atipik semptomları olan psikiyatri hastalarında nörolojik muayene ve beyin görüntüleme yöntemlerinin önemini vurgulamayı amaçladık.

Anahtar Kelimeler

• Depresyon
• psikoz belirtileri
• beyin tümörleri

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