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1 results

  • Depressive symptomatology and pineal epidermoid cyst: a case report

  • Konstantinos Kontoangelos, Marina Economou, Maria Maltezou, Anna Kandaraki, George N. Papadimitriou
  • Journal:
    Acta Neuropsychiatrica / Volume 25 / Issue 4 / August 2013
    Published online by Cambridge University Press:
    27 February 2013, pp. 240-242
  • Introduction

    Intracranial epidermoid cysts are congenital cysts. They comprise 0.2–1.8% of primary intracranial tumours and are four to nine times as common as dermoid cysts.

    Case report

    We here in present the case of a 32-year-old man who reported sudden onset of symptoms of a depressive symptomatology and particularly severe headache, accompanied by fatigue, depressed mood most of the day, marked diminished interest or pleasure in all or almost all activities, insomnia and diminished ability to think or concentrate. Brain magnetic resolution imaging examination revealed a pineal epidermoid cystic lesion, visualised in the posterior part of the third ventricle, with a maximum diameter of ∼2.8 cm and obstructing the aqueduct of Sylvius, causing obstructive hydrocephalus.

    Discussion

    Pineal cysts may enlarge over time, because of either increased cyst fluid or intracystic haemorrhage, and become symptomatic. Brain radiological investigations in patients with depressive symptomatology may be substantial.