Sıla YAZAR, Nurhan FISTIKÇI, Gülsüm CANTÜRK, Serap OFLAZ, Ali Haydar KÜÇÜKTÜFEKÇİ, Alkin YILMAZ, Demet KUŞÇU YANDIM

Psikiyatrik belirtilerin eşlik ettiği araknoid kistler: Olgu serisi

Bu olgu serisi bildiriminde tümü frontal veya temporal bölgede yerleşimli arakniod kistlere eşlik eden psikiyatrik bozuklukları içeren altı olgu sunulmuştur. Hastalarda başka türlü adlandırılamayan kategorisinde bir tanı konul- masına neden olabilecek renkli klinik tablolar olması, tedaviye kısmi yanıt alınması, duygulanım sorunları, tuhaf veya uygunsuz davranışlar dikkat çekmiştir. Bu özellikleri taşıyan olgularda beyin görüntülemesi yapılması ve nöroloji-beyin cerrahisi hekimleri tarafından değerlendirmesi önerilir.

Arachnoid cysts accompanied with psychiatric symptoms: A case serial

In this case serial, six patients having frontal or temporal arachnoid cysts with accompanying psychiatric symp- toms were represented. It was remarkable that patients get a diagnosis of not otherwise specified category, had only a partial remission and bizarre and inappropriate behavior. In cases with these features brain imaging and evaluation by neurology-neurosurgery clinicians might be recommended.

PDF

___

1. Helvig D, Bauer LB, Riegel T, Schmidek HH, Sweet WH. Operative Neurosurgical Techniques. Forth ed., Philadelphia, WB Saunders, 2000, p.513-517.
2. Mesulam MM. Principiles of Behavioral and Cognitive Neurology. Second ed., New York, Oxford University Press, 2000, p.82-83.
3. Wong CW, Ko SF, Wai YY. Arachnoid cyst of the lateral ventricule manifesting positional psychosis. Neuro-surgery 1993; 32:841-843.
4. Hodges JR. Pure apraxic agraphia with recovery after drainage of left frontal cyst. Cortex 1991; 27:469-473.
5. Relkin N, Plum F, Mattis S, Eidelberg D, Jranel D. Impulsive homicide associated with arachnoid cyst and unilateral frontotemporal cerebral disfunction. Semin Neuropsychiatry 1996; 1:172-183.
6. Lanczik M, Fritze J, Classen W, Ihl R, Maurer K. Schizophrenia like psychosis associated with an arachnoid cyst visualized by mapping of EEG and P300. Psychiatry Res 1989; 29:421-423.
7. Tsurushima H, Harakuri T, Saito A, Tominaga D, Hyodo A, Yoshii Y. Symptomatic arachnoid cyst of left frontal convexity presenting memory disturbance. Neurol Med Chir 2000; 40:339-341.
8. Choi.UC, Kim SD. Pathogenesis of arachnoid cyst: Congenital or traumatic? Pediatric Neurosurgery 1998; 29:260-266.
9. Yalcin AD, Öncel C, Kaymaz A, Kuloğlu N, Forta H. Evidence against association between arachnoid cysts and epilepsy. Epilepsy Res 2002; 49:255-260
10. Kuhnley EJ, White DH, Granoff AL. Psychiatric presen-tation of an arachnoid cyst. J CIin Psychiatry 1981; 42:167-168.