Open AccessPsychotic Features as Initial Presentation of Intracranial Epidermoid of Suprasellar Origin
Author(s) -
Nidhi Jain,
Patidar Isha
Publication year - 2021
Publication title -
international journal of medical science and diagnosis research
Language(s) - English
Resource type - Journals
eISSN - 2589-7837
pISSN - 2581-3935
DOI - 10.32553/ijmsdr.v5i9.852
Subject(s) - medicine , presentation (obstetrics) , psychosis , intracranial pressure , neuroimaging , radiology , psychiatry
Intracranial epidermoids are rare congenital lesions which account for around 1% of all intracranial tumors. They present most commonly in cerebello-pontine angle followed by suprasellar region, along with different intracranial areas. The most common presentation includes headache, cranial nerve deficiets, seizures, raised intracranial pressure. It is extremely uncommon for epidermoid tumors to present with psychiatric symptoms. We present a case of 38 year old female with history of psychosis for 2 years with personality change, disorganised behavior and delusions. An episode of increased sedation and semi-consciousness led to neuroimaging which revealed a large epidermoid tumor of suprasellar region and interpeduncular region. Surgical resection of the epidermoid was done and patient was maintained on drug treatment.
Keywords: Epidermoid tumour, Psychosis