Intracranial space-occupying masses in mental hospital patients: necropsy study.

Cole, G. J.

doi:10.1136/jnnp.41.8.730

Cited by 21 publications

(13 citation statements)

References 5 publications

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“…15 In the era before computed tomography, a postmortem study on 200 psychiatric patients revealed 14 subdural haematomas of which only one had been diagnosed in life. 16 Focal neurological deficit Hemiparesis was found in 58% of cases in one series. 13 Weakness of the limbs is usually mild but drowsiness is out of proportion to the degree of neurological deficit.…”

Section: Altered Mental Statementioning

confidence: 86%

Chronic subdural haematoma in the elderly

Adhiyaman

Asghar

Ganeshram

et al. 2002

Postgraduate Medical Journal

273

167

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Chronic subdural haematoma is predominantly a disease of the elderly. It usually follows a minor trauma. A history of direct trauma to the head is absent in up to half the cases. The common manifestations are altered mental state and focal neurological deficit. Neurological state at the time of diagnosis is the most important prognostic factor. Morbidity and mortality is higher in the elderly but outcome is good in patients who undergo neurosurgical intervention.

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Section: Altered Mental Statementioning

confidence: 86%

Chronic subdural haematoma in the elderly

Adhiyaman

Asghar

Ganeshram

et al. 2002

Postgraduate Medical Journal

273

167

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“…Before brain imaging was readily available, up to 70% of cases of ‘psychosis due to brain tumor’ were missed, especially if neurological symptoms were absent (8). In a study of 200 autopsies in a state mental hospital, 27 were found to have intracranial space‐occupying masses (9). Two other case reports of pituitary microadenoma, diagnosed as depression (10) or panic attacks (11), reinforce these findings.…”

Section: Discussionmentioning

confidence: 99%

Craniopharyngeoma presenting as psychosis, disinhibition and personality change without neurological signs

Sinai

Wong

2003

Acta Neuropsychiatr.

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Tumors of the pituitary are associated most commonly with visual changes or endocrine abnormalities. Although a significant proportion of such tumors cause cognitive abnormalities, only a small number of cases have been reported in which the presenting symptoms are primarily 'psychiatric' in nature. The case described below highlights the importance of ancillary investigations in the evaluation of patients admitted to psychiatric wards. Despite the size and extension of the tumor, the patient showed no clear neurological signs, and screening serology was normal except for an elevated prolactin level. Only diagnostic imaging was able to reveal the presence of a calcified, cystic suprasellar mass that was confirmed to be a craniopharyngeoma by histopathology.

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“…This was a classic problem in psychiatric hospitals in the era before computed tomography. In a study of 200 postmortems on psychiatric patients Cole found 14 subdural haematomas, only one of which had been diagnosed in life 5. The importance of the diagnosis rests with the fact that the condition is usually treatable with burr hole drainage and the majority do well afterwards.…”

Section: Discussionmentioning

confidence: 99%

A difficult psychiatric patient

2000

Postgraduate Medical Journal

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Intracranial space-occupying masses in mental hospital patients: necropsy study.

Cited by 21 publications

References 5 publications

Chronic subdural haematoma in the elderly

Chronic subdural haematoma in the elderly

Craniopharyngeoma presenting as psychosis, disinhibition and personality change without neurological signs

A difficult psychiatric patient

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