Cut it out or wait it out?Case series of middle fossa arachnoid cysts presenting with psychiatric symptoms and a discussion of the ethics of neurosurgical management

• 作者: Petrus Johannes Steyn Leigh Luella Van den Heuvel
• 来源期刊: 综合精神医学
• 年，卷（期）: 2021,（6）
• 所属期刊栏目: Case reports
• 页码范围: 377-380
• 页数: 4页
• 语种: 中文
• DOI: 10.1136/gpsych-2021-100523

摘要

Arachnoid cysts have been linked to neuropsychiatric morbidity.We describe two patients presenting with dissociative and manic symptoms believed to be associated with middle fossa arachnoid cysts.They were managed medically and remitted eventually,but symptoms were resistant.We briefly review the literature to discuss mechanisms by which cysts could cause symptoms and consider whether neurosurgical management would be appropriate.Although neurosurgery can be considered,its role is currently limited by practical and ethical considerations.