Psychiatry Investig.  2012 Sep;9(3):307-309.

A Case of Right Cerebellopontine-Angle Lesion: Psychotic Symptoms and Magnetic Resonance Imaging Findings

Affiliations
  • 1Department of Psychiatry, Pusan National University Hospital, Busan, Republic of Korea. psyleebd@gmail.com
  • 2Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.

Abstract

Here, we report psychotic symptoms together with a right cerebellopontine-angle lesion. A37-year-old female patient presented with a trigeminal Schwannoma occupying the right cerebellopontine angle. Her psychotic symptoms included auditory hallucinations and delusions of persecution. T1- and T2-weighted images on magnetic resonance imaging (MRI) revealed hyperintense and hypointense areas in the right cerebellopontine angle, respectively. The clinical and neuroimaging reviews in this case suggest that sudden onset of psychotic symptoms at a mature age may be associated with a right cerebellopontine-angle lesion and that MRI should be used to evaluate possible organic bases in patients that present with psychosis.

Keyword

Magnetic resonance imaging; Psychotic symptoms; Cerebellopontine angle

MeSH Terms

Cerebellopontine Angle
Delusions
Female
Hallucinations
Humans
Magnetic Resonance Imaging
Magnetic Resonance Spectroscopy
Magnetics
Magnets
Neurilemmoma
Neuroimaging
Psychotic Disorders
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