Arachnoid cyst masquerades as late onset obsessive-compulsive disorder

Aditya Hegde; Abhishek Ghosh; Sandeep Grover; Ajay Kumar; Rajesh Chabbra

doi:10.1016/j.genhosppsych.2013.09.002

Arachnoid cyst masquerades as late onset obsessive-compulsive disorder

Gen Hosp Psychiatry. 2014 Jan-Feb;36(1):125.e7-9. doi: 10.1016/j.genhosppsych.2013.09.002. Epub 2013 Oct 29.

Authors

Aditya Hegde¹, Abhishek Ghosh¹, Sandeep Grover², Ajay Kumar³, Rajesh Chabbra⁴

Affiliations

¹ Department of Psychiatry Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India.
² Department of Psychiatry Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India. Electronic address: drsandeepg2002@yahoo.com.
³ Department of Radiodiagnosis and imaging Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India.
⁴ Department of Neurosurgery Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India.

PMID: 24176514
DOI: 10.1016/j.genhosppsych.2013.09.002

Abstract

Literature evidence suggests that onset of obsessive-compulsive disorder (OCD) at a later age is usually associated with brain lesions. However, none of previous reports suggest an association between arachnoid cyst and OCD. In this report, we present a case of OCD, starting at the age of 40 years, in which the obsessive symptoms were characteristically associated with fluctuating insight. Investigation revealed an arachnoid cyst, in the area of left fronto-parietal region, with broad base towards the falx.

Keywords: Arachnoid cyst; Obsessive–Compulsive disorder; Organic.

Publication types

Case Reports

MeSH terms

Adult
Arachnoid Cysts / diagnosis*
Brain / pathology*
Diagnosis, Differential
Female
Humans
Magnetic Resonance Imaging
Obsessive-Compulsive Disorder / diagnosis*