Citation

Załuska M, Kowalska I, Paszko J. Postep. Psychiatr. Neurol. 2007; 16(Suppl 1): 17-20.

Copyright

(Copyright © 2007, Instytut Psychiatrii I Neurologii)

DOI

unavailable

PMID

unavailable

Abstract

OBJECTIVE. To investigate psychiatric symptoms associated with a colloidal cyst of the third ventricle of the brain. Such a cyst is a benign toumour, but it may be dangerous depending on its localization. It may be symptom-free, but its most common symptoms are headaches, and sometimes mental disorders. Since cysts producing clinical symptoms may be threatening to life, it is recommended that they should be removed. Case. A patient admitted to a mental hospital after a suicide attempt and probable epileptic fit was diagnosed with depressive syndrome and vegetative symptoms of alcohol withdrawal. Moreover, be manifested paleness of affect, emotional lability, and impulsive character of suicidal thoughts. CT and MRI scans revealed a colloidal cyst of the third ventricle and dilatation of the lateral ventricles of the brain. His depressive symptoms abated after treatment with paroxetine. The cyst was removed, but after the surgery his emotional lability remained and his mood was (periodically) mildly depressed. At a check-up MRI examination the ventrical dilatation was found to be back to normal, but a distinct dilatation of subarachnoid spaces in the frontal and temporal areas of the brain was found. These structural changes remaining in the CNS after the surgery ware considered to be the organic background of the patients's chronic mood and affective disorders. Commentary. The patient's depressive symptoms with subtle "organic" affective features and his abnormal response to alcohol may be the only symptoms of developing hydrocephalus in the course of colloidal cyst of the third ventricle.

Language: pl

Keywords

adult; human; Depression; case report; suicidal ideation; depression; suicide attempt; mood disorder; article; mental disease; hospital admission; paroxetine; impulsiveness; nuclear magnetic resonance imaging; vitamin; diazepam; seizure; mental hospital; computer assisted tomography; postoperative period; frontal lobe; symptom; mental instability; alcohol withdrawal; hydrocephalus; temporal lobe; brain third ventricle; brain cyst; Colloidal cyst of the third cerebral ventricle; lateral brain ventricle; Response to alcohol; subarachnoid space