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Third ventricular choroid plexus papilloma with psychosis. Case report
B S Carson1, J D Weingart, M Guarnieri
1Department of Neurological Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287-8811, USA.
Journal of Neurosurgery
|July 1, 1997
Summary
A boy with psychosis initially improved with haloperidol, but a brain tumor (choroid plexus papilloma) was found. Surgical removal resolved his psychiatric symptoms, indicating a link between the tumor and his condition.
Area of Science:
- Neuroscience
- Neuropathology
- Pediatric Psychiatry
Background:
- Psychiatric symptoms such as psychosis can present in children and adolescents.
- Behavioral problems and psychosis in pediatric patients necessitate comprehensive diagnostic evaluation.
- Pharmacological interventions like haloperidol are often initial treatments for psychosis.
Observation:
- A 9-year-old boy presented with behavioral issues and escalating psychosis.
- Initial treatment with haloperidol provided temporary symptom relief.
- Neuroimaging revealed an anterior third ventricle tumor and hydrocephalus.
Findings:
- Pathological examination confirmed the resected tumor as a choroid plexus papilloma.
- Surgical resection of the tumor was successful.
- The patient experienced a complete resolution of psychotic and mood symptoms post-surgery.
Implications:
- This case highlights the importance of considering organic causes, such as brain tumors, in pediatric psychosis.
- Choroid plexus papillomas can manifest with neuropsychiatric symptoms.
- Surgical intervention for specific brain tumors can lead to the remission of psychiatric disorders.