Mohammad-Amin Hamza, Edinoff Amber N, Akuly Haseeb A, Doppalapudi Prithvi, Horton Rita, Sin Anthony, Dwyer Donard, Mohammad Amin City, Shamim Sana
Louisiana State University Health Shreveport.
Health Psychol Res. 2021 Aug 11;9(1):27359. doi: 10.52965/001c.27359. eCollection 2021.
A 53-year-old Caucasian female with a previous psychiatric history of bipolar I disorder and attention deficit hyperactivity disorder presented to the emergency department after endorsing 10-11 months of auditory and visual hallucinations, persecutory delusions, depression, anosmia, weakness of lower extremities, and headache. The patient described her auditory hallucinations as non-commanding voices talking to her about her family, her visual hallucinations as seeing "shadows and shapes," and her paranoid delusions as people coming after her. The patient had sustained a fall a week and a half earlier, requiring eight sutures to her posterior scalp. Her MRI of the brain showed a well-circumscribed 3.5 x 4.7 x 3.2 cm mass in the floor of the anterior cranial fossa. Computer tomography of the brain showed a 4.5 cm mass near the anterior interhemispheric fissure and edema in the right frontal cortex. Meningioma resection resulted in the cessation of hallucinations and delusions for one week. However, the patient was brought back to the emergency department because her auditory hallucinations and delusions returned. This case report demonstrates residual psychosis, even after frontal meningioma resection.
一名53岁的白种女性，既往有双相I型障碍和注意力缺陷多动障碍的精神病史，在出现10至11个月的幻听、幻视、被害妄想、抑郁、嗅觉丧失、下肢无力和头痛后前往急诊科就诊。患者将其幻听描述为与她谈论家人的非命令性声音，幻视为看到“影子和形状”，偏执妄想为有人跟踪她。患者在一周半前摔倒，后头皮需要缝八针。她的脑部MRI显示在前颅窝底部有一个边界清晰的3.5×4.7×3.2厘米肿块。脑部计算机断层扫描显示在大脑半球间裂前部附近有一个4.5厘米的肿块，右侧额叶皮质有水肿。脑膜瘤切除术后幻觉和妄想停止了一周。然而，患者因幻听和妄想复发被带回急诊科。本病例报告表明，即使在额叶脑膜瘤切除术后仍有残留精神病症状。
