“…Usually, these patients are girls, very young at their first psychotic episode, presenting different combinations of psychotic symptoms and cognitive impairment, and may have up to 10 years before the correct diagnosis is arrived at through a simple brain scan (table 1). One could say that there are studies describing brain volume changes in humans taking chronic antipsychotic medication,15 but we believe that was not the case with our patient, as Dandy-Walker variant syndrome has been widely recognised as a congenital neurodevelopment condition,16 not an iatrogenic neurodegenerative one. On the other hand, there are also studies pointing to cerebellar dysfunction in schizophrenia,17 but again, our patient’s psychosis probably never met the full clinical criteria for a schizophrenia diagnosis.…”