Multiple Meningioma in a Patient of Bipolar Disorder: The Dilemma of Detecting Structural Brain Lesions in the Backdrop of a Long Standing Psychiatric Illness
Published: August 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/18817.8332
Ananya Mahapaapatra, Mamta Sood, Sudhir Kumar Khandelwal
1. Senior Resident, Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
2. Associate Professor, Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
3. Professor and Head, Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
Correspondence
Dr. Ananya Mahapatra,
Department of Psychiatry, 4th Floor, Teaching Block, All India Institute of Medical Sciences,
Ansari Nagar, East, New Delhi-110029, India.
E-mail: nnyaa09@gmail.com
Multiple meningioma often can be clinically silent and may present with only psychiatric symptoms. We report a case of 43-year-old, right handed woman with a 23 year history of long standing bipolar affective disorder, who presented with a mixed episode with psychotic symptoms which did not respond to usual treatment and was further complicated with a different set of symptomatology. MRI brain revealed multiple dural based mass lesions identified to be multiple meningiomas. Patient’s symptoms improved after gamma knife stereotactic radiosurgery for the multiple meningioma. Our finding illustrates the need to assess for brain lesions in presence of atypical symptoms, along with unresponsiveness to traditional management with psychotropic medications in patients with bipolar affective disorders.
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