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

Yıl 2020, , 86 - 89, 31.08.2020

Aslı Egeli , Olga Bayar , Aysun Kalenderoğlu , Elif Baltacı , Yaşar Kapıcı , Mehmet Hamdi Örüm

https://doi.org/10.25000/acem.737239

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

Teşekkür

Yaşadığımız bu zorlu günlerde makaleme ayırdığınız vakit için teşekkürler, sağlıkla kalın.

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

Öz

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.

Anahtar Kelimeler

psychosis symptoms, Depression, neuroimaging, brain tumors

Kaynakça

• References1. Perkins, A. and G. Liu, Primary brain tumors in adults: diagnosis and treatment. American family physician, 2016. 93(3): p. 211-217.
• References2. Subramoniam Madhusoodanan, M.B.T., T. Farah, and U. Ugur, Psychiatric aspects of brain tumors: A review. World journal of psychiatry, 2015. 5(3): p. 273.
• References3. Srivastava, S., et al., Psychiatric and cognitive correlates of quality of life among persons with primary brain tumors. Industrial Psychiatry Journal, 2019. 28(1): p. 141.
• References4. Madhusoodanan, S., M.B. Ting, and S.Y. Wilson, The psychopharmacology of primary and metastatic brain tumors and paraneoplastic syndromes, in Handbook of clinical neurology. 2019, Elsevier. p. 269-283.
• References5. Karamustafalıoğlu, O. and H. Yumrukçal, Depresyon ve anksiyete bozuklukları. Şişli Etfal Hastanesi Tıp Bülteni, 2011. 45(2): p. 65-74.
• References6. Buerki, R.A., et al., An overview of meningiomas. Future Oncology, 2018. 14(21): p. 2161-2177.
• References7. Mainio, A., et al., Depression in relation to survival among neurosurgical patients with a primary brain tumor: a 5-year follow-up study. Neurosurgery, 2005. 56(6): p. 1234-1242.
• References8. Mainio, A., et al., Depression in relation to anxiety, obsessionality and phobia among neurosurgical patients with a primary brain tumor: a 1-year follow-up study. Clinical neurology and neurosurgery, 2011. 113(8): p. 649-653.
• References9. Rooney, A.G., A. Carson, and R. Grant, Depression in cerebral glioma patients: a systematic review of observational studies. Journal of the national cancer institute, 2011. 103(1): p. 61-76.
• References10. Jordan, J.T. and S.R. Plotkin, Benign intracranial tumors. Neurologic clinics, 2018. 36(3): p. 501-516.
• References11. Harter, P.N., Y. Braun, and K.H. Plate, Classification of meningiomas-advances and controversies. Chinese clinical oncology, 2017. 6(Suppl 1): p. S2-S2.
• References12. Marosi, C., et al., Meningioma. Critical reviews in oncology/hematology, 2008. 67(2): p. 153-171.
• References13. Rogers, L., et al., Meningiomas: knowledge base, treatment outcomes, and uncertainties. A RANO review. Journal of neurosurgery, 2015. 122(1): p. 4-23.
• References14. Bommakanti, K., et al., Pre-operative and post-operative psychiatric manifestations in patients with supratentorial meningiomas. Clinical neurology and neurosurgery, 2016. 147: p. 24-29.
• References15. Ozan, E., et al., Olfaktor oluk meningiyomuna bagli frontal lob sendromu: Gözden geçirme/Frontal lobe syndrome due to olfactory groove meningioma: a literature review. Anadolu Psikiyatri Dergisi, 2010. 11(3): p. 279.
• References16. Oyesanya, M., J. Lopez-Morinigo, and R. Dutta, Systematic review of suicide in economic recession. World journal of psychiatry, 2015. 5(2): p. 243.
• References17. Owens, D.C., et al., Unsuspected organic disease in chronic schizophrenia demonstrated by computed tomography. Journal of Neurology, Neurosurgery & Psychiatry, 1980. 43(12): p. 1065-1069.
• References18. Peng, Y., et al., Relationship between apathy and tumor location, size, and brain edema in patients with intracranial meningioma. Neuropsychiatric disease and treatment, 2015. 11: p. 1685.
• References19. Falkai, P., A. Schmitt, and N. Andreasen, Forty years of structural brain imaging in mental disorders: is it clinically useful or not? Dialogues in clinical neuroscience, 2018. 20(3): p. 179.
• 20. Cole, G., Intracranial space-occupying masses in mental hospital patients: necropsy study. Journal of Neurology, Neurosurgery & Psychiatry, 1978. 41(8): p. 730-736.
• 21. Keschner, M., M.B. Bender, and I. Strauss, Mental symptoms associated with brain tumor: a study of 530 verified cases. Journal of the American medical Association, 1938. 110(10): p. 714-718.