Recurrent Psychotic Depression Associated with Chronic Subdural Haematoma: A Case Report

Chronic subdural hematomas (CSDH) with isolated psychiatric presentation are rare. In this paper, we report a case of 77-year-old-female patient who had psychotic depression after repetitive head trauma without any neurological symptoms. The brain magnetic resonance imaging revealed an 20 mm subdura...

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Bibliographic Details
Published in:Noro-Psikiyatri Arsivi 2024, Vol.61 (2), p.180-183
Main Authors: Alp, Anıl, Yıldız, M İrem, Eroğlu, Elçin Özçelik, Işıkay, A İlkay, Ayhan, Yavuz, Ertuğrul, Aygün
Format: Article
Language:English
Subjects:
Case Report
Executive function
Hematoma
Insomnia
Intracranial pressure
Magnetic resonance imaging
Mental depression
Neurological disorders
Nihilism
Outpatient care facilities
Psychosis
Semantics
Suicidal behavior
Suicidal ideation
Suicides & suicide attempts
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Summary:Chronic subdural hematomas (CSDH) with isolated psychiatric presentation are rare. In this paper, we report a case of 77-year-old-female patient who had psychotic depression after repetitive head trauma without any neurological symptoms. The brain magnetic resonance imaging revealed an 20 mm subdural hematoma in the right frontoparietal region and a 7 mm subdural hematoma in the left frontal region. The psychiatric symptoms improved within the first week after evacuation but relapsed with the occurrence of right sided pneumocephalus. In the follow up, with the disappearance of the pneumocephalus, the psychiatric symptoms improved. It should be kept in mind that isolated psychiatric symptoms can be seen due to subdural hematoma and evacuation of the hematoma has an important role in improving the psychiatric symptoms.
ISSN:1300-0667
1309-4866
DOI:10.29399/npa.28519