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

Overview

Journal Noro Psikiyatr Ars

Date 2024 Jun 13

PMID 38868841

Authors

Anil Alp

M Irem Yildiz

Elcin Ozcelik Eroglu

A Ilkay Isikay

Yavuz Ayhan

Aygun Ertugrul

Affiliations

Soon will be listed here.

Abstract

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.

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