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Case report
Frontal lobe meningioma presenting with schizophrenia-like symptoms: an organic cause of psychotic disorder
  1. Chawisa Suradom1,
  2. Sirijit Suttajit1,
  3. Atiwat Soontornpun2 and
  4. Manee Pinyopornpanish1
  1. 1Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
  2. 2Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
  1. Correspondence to Chawisa Suradom; suradom{at}gmail.com

Abstract

A 51-year-old woman had been diagnosed and treated for schizophrenia for 10 years. Two weeks prior to admission, she developed headache and diplopia. Then, she was found unconscious and was sent to the hospital. A tumour in the left frontal lobe of the brain, causing brain herniation, was diagnosed and surgical excision of tumour was performed immediately. The psychotic symptoms of the patient were completely resolved after surgery. The histological diagnosis was meningioma. This case demonstrates an uncommon presentation of meningioma, the most common primary brain tumour. Patients presenting with psychotic symptoms may be misdiagnosed with schizophrenia, when a tumour is present, allowing the tumour to grow and causing associated complications. Early diagnosis and treatment could prevent mortality and morbidity. The treating physician should be aware of organic possibilities and carefully search for atypical presentations of psychiatric disorders in their patients.

  • psychotic disorders (incl schizophrenia)
  • neurooncology
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Footnotes

  • Contributors CS and MP: collected the data from the patient. CS: drafted the manuscript. MP, SS and AS: co-wrote the manuscript. All authors approved the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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