RT Journal Article
SR Electronic
T1 Obstructive hydrocephalus caused by colloid cyst presenting as a schizophrenia-like psychosis
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr-2017-223037
DO 10.1136/bcr-2017-223037
VO 2018
A1 Mikkel Højlund
A1 Pia Hansen
A1 Willy Krone
A1 Lene Høgh
YR 2018
UL http://casereports.bmj.com/content/2018/bcr-2017-223037.abstract
AB This report presents a young woman with psychotic symptoms that were highly suspicious of schizophrenia. Previous attempts of antidepressant therapy of mood symptoms had been ineffective. However, she also presented with discrete signs of an underlying neurological condition, and as a part of the diagnostic workup, neuroimaging revealed ventriculomegaly. She was diagnosed with obstructive hydrocephalus and experienced full remission of psychotic symptoms after neurosurgical intervention with a ventriculoperitoneal shunt. This atypical presentation of obstructive hydrocephalus underlines the importance of neuroimaging in psychiatric differential diagnostics. Otherwise, this young woman had been diagnosed with schizophrenia, instead of organic delusional disorder secondary to a neurological condition, with possible irreversible damage to brain tissue as a consequence.