Abstract
We present four patients with first episode psychosis who were also negative to other clinical evaluations including thyroid functioning. Their psychotic symptoms were suspected to be induced by the arachnoid cyst and it was controlled by moderate dose antipsychotic administration. The diagnoses of these cases were atypical affective disorder, schizophrenia (paranoid type), delusional disorder (jealous type), atypical psychosis. All of the cases manifested a variety of delusions of persecution, mystic, megalomaniac, jealousy. Neurosurgical examinations only revealed that patients needed to follow-up.
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