Co-occurrence of Psychiatric Symptoms With Cerebellar Venous Malformation: A Case Report

Emül, Murat; Yilmaz, Itir; Asik, Ahmet; Oruç, Serdar; Ilgaz, Kadir; Güler, Özkan

doi:10.1176/jnp.2010.22.4.451.e6

JNP

2010

DOI: 10.1176/jnp.2010.22.4.451.e6

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Co-occurrence of Psychiatric Symptoms With Cerebellar Venous Malformation: A Case Report

Murat Emül¹,

Itir Yilmaz²,

Ahmet Asik³

et al.

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2015

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Psychosis following a stroke to the cerebellum and midbrain: a case report

Bielawski

Bondurant

2015

cerebellum ataxias

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Background There is growing evidence that the cerebellum serves an important role in controlling affect and cognition, and its pathology has been implicated in several psychiatric disorders. Furthermore, the brainstem’s role in cognition and affect has been historically overlooked. Neuroimaging studies and an increasing number of case reports indicate cognitive deficits and hallucinatory phenomena after isolated brainstem lesions.Case presentationWe report a 56-year-old man who developed persistent persecutory delusions, hallucinations, cognitive impairment and flattened affect following an extensive bilateral cerebellar stroke with involvement of the midbrain.ConclusionsThis is one of the few reported cases of unremitting psychosis secondary to cerebellar and mesencephalic vascular infarction. We suggest, based on the distribution of the patient’s lesions, that his corresponding symptoms are a result of a disruption to cerebrocerebellar pathways. This article briefly reviews recent pathophysiological explanations behind the psychosis associated with brainstem and cerebellar lesions, the treatment, as well as the relation of these structures to each other.

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Psychosis following a stroke to the cerebellum and midbrain: a case report

Bielawski

Bondurant

2015

cerebellum ataxias

View full text Add to dashboard Cite

show abstract

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Co-occurrence of Psychiatric Symptoms With Cerebellar Venous Malformation: A Case Report

Cited by 1 publication

References 5 publications

Psychosis following a stroke to the cerebellum and midbrain: a case report

Psychosis following a stroke to the cerebellum and midbrain: a case report

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