Arachnoid cyst masquerades as late onset obsessive–compulsive disorder

Abstract Literature evidence suggests that onset of obsessive–compulsive disorder (OCD) at a later age is usually associated with brain lesions. However, none of previous reports suggest an association between arachnoid cyst and OCD. In this report, we present a case of OCD, starting at the age of 4...

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Bibliographic Details
Published in:General hospital psychiatry 2014, Vol.36 (1), p.125.e7-125.e9
Main Authors: Hegde, Aditya, M.B.S.S, Ghosh, Abhishek, M.D, Grover, Sandeep, M.D, Kumar, Ajay, M.D, Chabbra, Rajesh, M.S., M.Ch
Format: Article
Language:English
Subjects:
Adult
Arachnoid cyst
Arachnoid Cysts - diagnosis
Brain - pathology
Diagnosis, Differential
Female
Humans
Magnetic Resonance Imaging
Obsessive-Compulsive Disorder - diagnosis
Obsessive–Compulsive disorder
Organic
Psychiatry
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Summary:Abstract Literature evidence suggests that onset of obsessive–compulsive disorder (OCD) at a later age is usually associated with brain lesions. However, none of previous reports suggest an association between arachnoid cyst and OCD. In this report, we present a case of OCD, starting at the age of 40 years, in which the obsessive symptoms were characteristically associated with fluctuating insight. Investigation revealed an arachnoid cyst, in the area of left fronto-parietal region, with broad base towards the falx.
ISSN:0163-8343
1873-7714
DOI:10.1016/j.genhosppsych.2013.09.002