Psychosis Secondary to Brain Tumor

Area of Science:

• Neurology
• Psychiatry
• Oncology

Background:

• Psychotic symptoms can be an unusual presentation of brain tumors.
• Misdiagnosis is common due to the lack of typical neurological signs, especially in elderly patients.
• Brain tumor-induced psychosis is a rare but treatable condition.

Purpose of the Study:

• To review the epidemiology, clinical presentation, diagnosis, and treatment of psychosis secondary to brain tumors.
• To highlight the importance of considering brain tumors in the differential diagnosis of psychosis.
• To present a case study illustrating successful treatment outcomes.

Main Methods:

• Literature review of epidemiology, clinical spectrum, diagnostic evaluation, and treatment of brain tumors presenting with psychosis.
• Case report presentation of a 26-year-old female with meningioma-induced psychosis.
• Follow-up assessment of treatment efficacy and long-term remission.

Main Results:

• Psychosis secondary to brain tumor is rare but can be challenging to diagnose.
• A case of meningioma causing psychosis in a young woman was successfully treated with surgery.
• Complete resolution of psychotic symptoms was achieved post-tumor resection with sustained remission.

Conclusions:

• Clinicians must maintain a high index of suspicion for brain tumors in patients with new-onset psychosis, particularly when neurological signs are absent.
• Surgical excision of brain tumors causing psychosis can lead to complete and lasting remission of psychiatric symptoms.
• Early and accurate diagnosis of brain tumor-related psychosis is crucial for effective management and improved patient outcomes.