YASEMİN GÖRGÜLÜ, Serap Çakıcı ALPARSLAN, Niyazi UYGUR

Korpus kallosum atrofisi ve psikoz: Bir olgu sunumu

Otuz bir yaşındaki erkek hasta, işlediği cinayet suçu nedeniyle ilgili mahkemenin verdiği koruma ve tedavi altına alınması kararı gereğince hastanemize yatırıldı. Hasta, 2001 yılında geçirdiği trafik kazasına bağlı kafa travması nedeniyle yoğun bakım ünitesinde tedavi görmüştü. Hastanın bu kazaya kadar herhangi bir şikayeti ya da hastalığı yokken, kafa travması nedeniyle gördüğü tedavinin tamamlanmasından hemen sonra perseküsyon hezeyanları şeklinde psikotik belirtileri ortaya çıkmıştı. Kendisine düşmanca davrandığı ve kötülük yapacağı şeklindeki perseküsyon hezeyanları nedeniyle halasını öldürmüştü. Hastanın kranial MR’ında, korpus kallosumda total incelme-atrofi saptandı. DSM-IV TR’ye göre hastanın tanısı, “kafa travmasına bağlı psikotik bozukluk, hezeyanlarla giden tip” olarak konuldu. Bu olgu, kafa travması, psikoz ve kafa travmasından sonra saptanan korpus kallosum atrofisi arasındaki zamansal ilişki nedeniyle ilginç bulunmuştur.

Corpus callosum atrophy and psychosis: A case report

A 31-year-old male patient was hospitalized in our hospital due to the compulsory treatment desicion of the related court because of the guilt of “murder”. The patient had been treated in intensive care unit due to head trauma because of a traffic accident, in 2001. The patient had had no complaints or disease until this accident. After his treatment for head trauma, psychotic signs as persecution delusions had appeared. He had killed his aunt because of his persecution delusions as he believed his aunt had been hostile to and would harm him. In his cranial MRI, thinning-atrophy in all parts of corpus callosum was observed. He was diagnosed with “psychotic disorder due to head trauma, with delusions”, according to DSM-IV TR. This case is found interesting because of the time relation between head trauma and psychosis and corpus callosum atrophy detected after the head trauma.

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