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Temporal glioblastoma presenting as catatonia
Anouchka Franssen1, Pascal Sienaert2
1Universitair Psychiatrisch Centrum KU Leuven, Kortenberg, Belgium.
BMJ Case Reports
|March 7, 2019
Summary
Catatonia can signal a temporal brain tumor. This case shows a patient whose catatonia resolved after surgical removal of a glioblastoma, highlighting the need for thorough investigation.
Area of Science:
- Neuroscience
- Neurology
- Oncology
Background:
- Catatonia is a neuropsychiatric syndrome characterized by motor abnormalities.
- Temporal lobe lesions can manifest with diverse neurological and psychiatric symptoms.
Observation:
- A 57-year-old male presented with depression and secondary catatonia.
- An MRI revealed a right temporal lobe glioblastoma with uncal herniation.
Findings:
- The patient's catatonia resolved following successful surgical resection of the glioblastoma.
- Histological confirmation of glioblastoma multiforme necessitated further chemoradiotherapy.
Implications:
- Catatonia may be an initial symptom of temporal brain tumors.
- Physicians should consider brain imaging in cases of unexplained catatonia.
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