Case report: Recurrence of psychosis after the surgical resection and radiation of a temporal lobe astrocytoma

It is estimated that the incidence of first episode psychotic disorder is about 33 people out of 100,000 each year. Beyond primary psychotic illness (e.g., schizophrenia, schizophreniform disorder), some of these patients will develop psychotic disorder due to a complex interplay of genetics, anatom...

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Main Authors: David Perekopskiy, Shervin Zoghi, Jenna Dobrick, Orwa Aboud, James Alan Bourgeois
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1485502/full
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author David Perekopskiy
Shervin Zoghi
Jenna Dobrick
Orwa Aboud
Orwa Aboud
Orwa Aboud
James Alan Bourgeois
author_facet David Perekopskiy
Shervin Zoghi
Jenna Dobrick
Orwa Aboud
Orwa Aboud
Orwa Aboud
James Alan Bourgeois
author_sort David Perekopskiy
collection DOAJ
description It is estimated that the incidence of first episode psychotic disorder is about 33 people out of 100,000 each year. Beyond primary psychotic illness (e.g., schizophrenia, schizophreniform disorder), some of these patients will develop psychotic disorder due to a complex interplay of genetics, anatomical variations, traumatic brain injury (TBI), environment, substance use, and/or other causes. A small subset of patients will develop psychotic disorder due to a structural anatomic lesion, such as a CNS tumor. Here we present a 35-year-old male with worsening auditory hallucinations after surgical resection and radiation of a right temporal lobe astrocytoma in the setting of co-morbid methamphetamine usage. This case report helps illustrate how a neuroimaging work-up is important for the first incidence of psychotic disorder and how a tumor can produce a psychotic disorder that persists after oncologic treatment. This paper adds to the literature on the presentation and treatment of post-resection tumor-induced psychotic disorder.
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spelling doaj-art-95f4c35031c9498a912fbc43014dd3fa2025-01-06T06:59:48ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.14855021485502Case report: Recurrence of psychosis after the surgical resection and radiation of a temporal lobe astrocytomaDavid Perekopskiy0Shervin Zoghi1Jenna Dobrick2Orwa Aboud3Orwa Aboud4Orwa Aboud5James Alan Bourgeois6Department of Psychiatry and Behavioral Sciences, University of California, Davis Medical Center, Sacramento, CA, United StatesDepartment of Psychiatry and Behavioral Sciences, University of California, Davis Medical Center, Sacramento, CA, United StatesDepartment of Psychiatry and Behavioral Sciences, University of California, Davis Medical Center, Sacramento, CA, United StatesDepartment of Neurological Surgery, University of California, Davis Medical Center, Sacramento, CA, United StatesDepartment of Neurology, University of California, Davis Medical Center, Sacramento, CA, United StatesComprehensive Cancer Center, University of California, Davis Medical Center, Sacramento, CA, United StatesDepartment of Psychiatry and Behavioral Sciences, University of California, Davis Medical Center, Sacramento, CA, United StatesIt is estimated that the incidence of first episode psychotic disorder is about 33 people out of 100,000 each year. Beyond primary psychotic illness (e.g., schizophrenia, schizophreniform disorder), some of these patients will develop psychotic disorder due to a complex interplay of genetics, anatomical variations, traumatic brain injury (TBI), environment, substance use, and/or other causes. A small subset of patients will develop psychotic disorder due to a structural anatomic lesion, such as a CNS tumor. Here we present a 35-year-old male with worsening auditory hallucinations after surgical resection and radiation of a right temporal lobe astrocytoma in the setting of co-morbid methamphetamine usage. This case report helps illustrate how a neuroimaging work-up is important for the first incidence of psychotic disorder and how a tumor can produce a psychotic disorder that persists after oncologic treatment. This paper adds to the literature on the presentation and treatment of post-resection tumor-induced psychotic disorder.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1485502/fullpsychosisneuroimagingrisperidoneamphetaminetumorastrocytoma
spellingShingle David Perekopskiy
Shervin Zoghi
Jenna Dobrick
Orwa Aboud
Orwa Aboud
Orwa Aboud
James Alan Bourgeois
Case report: Recurrence of psychosis after the surgical resection and radiation of a temporal lobe astrocytoma
Frontiers in Psychiatry
psychosis
neuroimaging
risperidone
amphetamine
tumor
astrocytoma
title Case report: Recurrence of psychosis after the surgical resection and radiation of a temporal lobe astrocytoma
title_full Case report: Recurrence of psychosis after the surgical resection and radiation of a temporal lobe astrocytoma
title_fullStr Case report: Recurrence of psychosis after the surgical resection and radiation of a temporal lobe astrocytoma
title_full_unstemmed Case report: Recurrence of psychosis after the surgical resection and radiation of a temporal lobe astrocytoma
title_short Case report: Recurrence of psychosis after the surgical resection and radiation of a temporal lobe astrocytoma
title_sort case report recurrence of psychosis after the surgical resection and radiation of a temporal lobe astrocytoma
topic psychosis
neuroimaging
risperidone
amphetamine
tumor
astrocytoma
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1485502/full
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