Psychotic Features as Initial Presentation of Intracranial Epidermoid of Suprasellar Origin

Nidhi Jain,Patidar Isha

doi:10.32553/ijmsdr.v5i9.852

Abstract

Intracranial epidermoids are rare congenital lesions which account for around 1% of all intracranial tumors. They present most commonly in cerebello-pontine angle followed by suprasellar region, along with different intracranial areas. The most common presentation includes headache, cranial nerve deficiets, seizures, raised intracranial pressure. It is extremely uncommon for epidermoid tumors to present with psychiatric symptoms. We present a case of 38 year old female with history of psychosis for 2 years with personality change, disorganised behavior and delusions. An episode of increased sedation and semi-consciousness led to neuroimaging which revealed a large epidermoid tumor of suprasellar region and interpeduncular region. Surgical resection of the epidermoid was done and patient was maintained on drug treatment. Keywords: Epidermoid tumour, Psychosis

Highlights

Intracranial epidermoid are benign tumors accounting for less than 1% of brain tumors
These tumors are located at the parasellar or cerebellopontine angle region. These tumors can be found in posterior fossa, quadrigeminal cistern, brain stem, temporal lobe, and supratentorial dorsal cistern.[1]
Tumor commonly presents with symptoms like headache, seizure, nausea, tinnitus etc

Summary

Case Study

|| Print ISSN: 2589-7837 || Online ISSN: 2581-3935 || International Journal of Medical Science and Diagnosis Research (IJMSDR). Psychotic Features as Initial Presentation of Intracranial Epidermoid of Suprasellar Origin. They present most commonly in cerebello-pontine angle followed by suprasellar region, along with different intracranial areas. The most common presentation includes headache, cranial nerve deficiets, seizures, raised intracranial pressure. It is extremely uncommon for epidermoid tumors to present with psychiatric symptoms. An episode of increased sedation and semi-consciousness led to neuroimaging which revealed a large epidermoid tumor of suprasellar region and interpeduncular region.

Introduction

Discussion

Findings

Presentation of Epidermoid of Quadrigeminal