Frontal lobe tumor misdiagnose. A case report
Introduction Space occupying lesions compromising frontal lobes usually may produce in the first place psychiatric symptoms such as progressive change of personality and/or symptoms suggestive of depressive episodes. Thus they can be misdiagnosed and mistreated. Objectives A case report is present...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822016388/type/journal_article |
| _version_ | 1827754757961285632 |
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| author | A. Franco Soler H. Torregrosa Martínez P. Coucheiro Limeres A. Cerame P. Prada Bou |
| author_facet | A. Franco Soler H. Torregrosa Martínez P. Coucheiro Limeres A. Cerame P. Prada Bou |
| author_sort | A. Franco Soler |
| collection | DOAJ |
| description |
Introduction
Space occupying lesions compromising frontal lobes usually may produce in the first place psychiatric symptoms such as progressive change of personality and/or symptoms suggestive of depressive episodes. Thus they can be misdiagnosed and mistreated.
Objectives
A case report is presented as well as an updated review of frontal lobe tumor diagnosis and treatment literature.
Methods
We present the case of a 45 years-old male patient with no relevant medical history who arrives at the mental health center due to behavioral disorders, depressive mood, workplace absenteeism and personal hygiene neglect in the last 3 months.
Results
Since the clinical picture was compatible with depressive disorder the patient was treated with psychotherapy and antidepressant drugs with no remission. Due to the treatment absence of response he attends emergency services where he is performed a craneal tomograpy (CT) where a right frontal lobe tumor (FLT) is observed.
Conclusions
In early stages FLT are sometimes presented as psychological mood or anxiety disorders without accompanying neurologic deficits. Thus, mental health professionals should be aware that psychological symptoms might be a presentation of organic disease of the brain and in some cases (e.g. middle-aged patients with affective symptoms with no previous mental health history) organic screening and hence brain imaging should be considered.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:53:54Z |
| format | Article |
| id | doaj.art-c687aa0e10634d938123a5dd0b31e3ff |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:53:54Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-c687aa0e10634d938123a5dd0b31e3ff2023-11-17T05:06:09ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S639S63910.1192/j.eurpsy.2022.1638Frontal lobe tumor misdiagnose. A case reportA. Franco Soler0H. Torregrosa Martínez1P. Coucheiro Limeres2A. Cerame3P. Prada Bou4Hospital Universitario José Germain, Psychiatry Department, Leganés, SpainHospital Universitario Príncipe de Asturias, Neurology, Alcala de Henares, SpainHospital Universitario José Germain, Psychiatry Department, Leganés, SpainHospital Universitario José Germain, Hospital De Día, Leganes, SpainHospital Universitario Infanta Cristina, Psychiatry, Parla, Spain Introduction Space occupying lesions compromising frontal lobes usually may produce in the first place psychiatric symptoms such as progressive change of personality and/or symptoms suggestive of depressive episodes. Thus they can be misdiagnosed and mistreated. Objectives A case report is presented as well as an updated review of frontal lobe tumor diagnosis and treatment literature. Methods We present the case of a 45 years-old male patient with no relevant medical history who arrives at the mental health center due to behavioral disorders, depressive mood, workplace absenteeism and personal hygiene neglect in the last 3 months. Results Since the clinical picture was compatible with depressive disorder the patient was treated with psychotherapy and antidepressant drugs with no remission. Due to the treatment absence of response he attends emergency services where he is performed a craneal tomograpy (CT) where a right frontal lobe tumor (FLT) is observed. Conclusions In early stages FLT are sometimes presented as psychological mood or anxiety disorders without accompanying neurologic deficits. Thus, mental health professionals should be aware that psychological symptoms might be a presentation of organic disease of the brain and in some cases (e.g. middle-aged patients with affective symptoms with no previous mental health history) organic screening and hence brain imaging should be considered. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822016388/type/journal_articledepressive moodFrontal lobe tumorcraneal tomography |
| spellingShingle | A. Franco Soler H. Torregrosa Martínez P. Coucheiro Limeres A. Cerame P. Prada Bou Frontal lobe tumor misdiagnose. A case report European Psychiatry depressive mood Frontal lobe tumor craneal tomography |
| title | Frontal lobe tumor misdiagnose. A case report |
| title_full | Frontal lobe tumor misdiagnose. A case report |
| title_fullStr | Frontal lobe tumor misdiagnose. A case report |
| title_full_unstemmed | Frontal lobe tumor misdiagnose. A case report |
| title_short | Frontal lobe tumor misdiagnose. A case report |
| title_sort | frontal lobe tumor misdiagnose a case report |
| topic | depressive mood Frontal lobe tumor craneal tomography |
| url | https://www.cambridge.org/core/product/identifier/S0924933822016388/type/journal_article |
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