Psychiatric presentation in undiagnosed intracranial space-occupying lesions: A case series

Intracranial space-occupying lesions (SOLs) account for about 5–10 deaths per 100,000 in India. They present with physical symptoms such as headache, nausea, vomiting, and weakness; neurological symptoms such as seizures, and focal neurological deficit; and behavioral changes manifesting as depressi...

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Main Authors: Daisy Rure, Nisha Kaithwas, Suneel S Kushwah, Nimisha Mishra, Dheerendra Mishra, Makhan Shakya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Industrial Psychiatry Journal
Subjects:
Online Access:http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2023;volume=32;issue=3;spage=268;epage=272;aulast=Rure
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author Daisy Rure
Nisha Kaithwas
Suneel S Kushwah
Nimisha Mishra
Dheerendra Mishra
Makhan Shakya
author_facet Daisy Rure
Nisha Kaithwas
Suneel S Kushwah
Nimisha Mishra
Dheerendra Mishra
Makhan Shakya
author_sort Daisy Rure
collection DOAJ
description Intracranial space-occupying lesions (SOLs) account for about 5–10 deaths per 100,000 in India. They present with physical symptoms such as headache, nausea, vomiting, and weakness; neurological symptoms such as seizures, and focal neurological deficit; and behavioral changes manifesting as depression (15–20%), anxiety (30–50%), psychosis (<5%), and personality changes (16–76%). Therefore, it is necessary to do an appropriate general, neurological, and behavioral examination for proper diagnosis and management. A series of four cases who reported to psychiatric outpatient with behavioural complaints and no focal neurological deficits were reported. The most common presentation of SOLs is seizure, headache, vomiting, and loss of consciousness. Along with this complaint, some patients may present with abnormal behavior. However, it is very rare for a SOL to present solely with psychiatric or behavioral complaints. Therefore, it becomes imperative to keep a close watch on the symptoms and send for timely investigations.
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spelling doaj.art-da9363f844e34d5b9511b0b6c82f1b342024-03-25T15:40:56ZengWolters Kluwer Medknow PublicationsIndustrial Psychiatry Journal0972-67480976-27952023-01-0132326827210.4103/ipj.ipj_243_23Psychiatric presentation in undiagnosed intracranial space-occupying lesions: A case seriesDaisy RureNisha KaithwasSuneel S KushwahNimisha MishraDheerendra MishraMakhan ShakyaIntracranial space-occupying lesions (SOLs) account for about 5–10 deaths per 100,000 in India. They present with physical symptoms such as headache, nausea, vomiting, and weakness; neurological symptoms such as seizures, and focal neurological deficit; and behavioral changes manifesting as depression (15–20%), anxiety (30–50%), psychosis (<5%), and personality changes (16–76%). Therefore, it is necessary to do an appropriate general, neurological, and behavioral examination for proper diagnosis and management. A series of four cases who reported to psychiatric outpatient with behavioural complaints and no focal neurological deficits were reported. The most common presentation of SOLs is seizure, headache, vomiting, and loss of consciousness. Along with this complaint, some patients may present with abnormal behavior. However, it is very rare for a SOL to present solely with psychiatric or behavioral complaints. Therefore, it becomes imperative to keep a close watch on the symptoms and send for timely investigations.http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2023;volume=32;issue=3;spage=268;epage=272;aulast=Rureconsultation-liaisonneuroimagingneuropsychiatric
spellingShingle Daisy Rure
Nisha Kaithwas
Suneel S Kushwah
Nimisha Mishra
Dheerendra Mishra
Makhan Shakya
Psychiatric presentation in undiagnosed intracranial space-occupying lesions: A case series
Industrial Psychiatry Journal
consultation-liaison
neuroimaging
neuropsychiatric
title Psychiatric presentation in undiagnosed intracranial space-occupying lesions: A case series
title_full Psychiatric presentation in undiagnosed intracranial space-occupying lesions: A case series
title_fullStr Psychiatric presentation in undiagnosed intracranial space-occupying lesions: A case series
title_full_unstemmed Psychiatric presentation in undiagnosed intracranial space-occupying lesions: A case series
title_short Psychiatric presentation in undiagnosed intracranial space-occupying lesions: A case series
title_sort psychiatric presentation in undiagnosed intracranial space occupying lesions a case series
topic consultation-liaison
neuroimaging
neuropsychiatric
url http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2023;volume=32;issue=3;spage=268;epage=272;aulast=Rure
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