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Published on: November 21, 2013
Schizencephaly and the Neurodevelopmental Model of Psychosis
Rahul Patwal1, Naveen Manohar Pai1, Sundarnag Ganjekar1
1Departmen of Psychiatry, National Institute of Mental Health and Neuro Sciences, Hosur Road, Bangalore, Karnataka, India.
Background:
Schizencephaly is a rare congenital disorder of cerebral cortical development. Clinical features vary based on the areas and severity of cortical involvement. The most prominent manifestations being motor deficits, seizures, and cognitive impairment. MRI has been the diagnostic modality of choice. Till now, a handful of case reports associating schizencephaly with psychiatric manifestations have been reported.
Methods:
In this brief report, we review the available literature and present the summary of a 50-year-old gentleman who presented with paranoia, irritability, impulsive spending, emotional lability, and circumstantial speech with perseveration of themes.
Results:
MRI findings are suggestive of closed lip schizencephaly.
Conclusion:
This case helps us in understanding the neurodevelopmental model and functional neuroanatomy of psychiatric symptom dimensions.
Insights
This case report highlights a rare association between schizencephaly, a congenital brain disorder, and psychiatric symptoms like paranoia and emotional lability in a 50-year-old male. Findings suggest a link between neurodevelopmental abnormalities and complex psychiatric presentations.
Area of Science:
- Neurology
- Psychiatry
- Neurodevelopmental Disorders
Background:
- Schizencephaly is a rare congenital disorder affecting cerebral cortical development, often presenting with motor deficits, seizures, and cognitive impairment.
- Magnetic Resonance Imaging (MRI) is the primary diagnostic tool for schizencephaly.
- While neurological and cognitive issues are common, psychiatric manifestations are infrequently reported.
Observation:
- A 50-year-old gentleman presented with a constellation of psychiatric symptoms including paranoia, irritability, impulsive spending, emotional lability, and circumstantial speech.
- The patient's clinical presentation was investigated through a review of existing literature and case summarization.
Findings:
- MRI results indicated findings consistent with closed-lip schizencephaly.
- The patient's psychiatric symptoms are presented in the context of this neurodevelopmental disorder.
Implications:
- This case contributes to understanding the neurodevelopmental model of psychiatric disorders.
- It underscores the importance of considering functional neuroanatomy in the manifestation of psychiatric symptom dimensions.
- Further research may elucidate the relationship between specific cortical malformations and psychiatric conditions.
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