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Craniopharyngioma presenting as 'mania'-case report
G K Prusty1, Subramanya, V Hemalatha
1Post-Graduate Resident, Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore-560 029.
Indian Journal of Psychiatry
|October 4, 2011
Summary
This case report details a rare instance of craniopharyngioma in a child presenting with manic symptoms. Surgical removal of the craniopharyngioma led to complete recovery without antipsychotic medication.
Area of Science:
- Pediatric Neurology
- Neuro-oncology
- Child Psychiatry
Background:
- Craniopharyngioma is a rare brain tumor typically affecting children.
- Neurological and psychiatric symptoms can manifest due to tumor location and effects.
- Mania is an uncommon presenting symptom for pediatric brain tumors.
Purpose of the Study:
- To report the first known case of craniopharyngioma presenting with manic features in a pediatric patient.
- To highlight the diverse and sometimes unusual clinical presentations of craniopharyngioma.
- To underscore the importance of considering neoplastic causes for psychiatric disturbances in children.
Main Methods:
- Case study of a six-year-old child with a six-month history of manic behavior.
- Diagnostic workup including neuroimaging to identify the underlying cause.
- Surgical intervention for the diagnosed craniopharyngioma.
Main Results:
- A six-year-old child presented with a six-month history of manic behavior.
- Craniopharyngioma was diagnosed as the underlying cause of the symptoms.
- Complete resolution of manic symptoms was achieved post-surgery without antipsychotic medication.
Conclusions:
- Craniopharyngioma can present with psychiatric manifestations such as mania in children.
- Surgical resection of craniopharyngioma can lead to the resolution of associated psychiatric symptoms.
- This case emphasizes the need for thorough investigation in pediatric patients with unexplained behavioral changes.
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