Septo-optic dysplasia and psychiatric disorders: a case report

Cogn Behav Neurol. 2008 Dec;21(4):254-7. doi: 10.1097/WNN.0b013e3181910f02.

Abstract

Background: Septo-optic dysplasia, a variable combination of abnormalities of cerebral midline structures, is a clinically heterogeneous syndrome in which the midline defects may be implicated in psychiatric disturbances.

Objective: To describe a case of septo-optic dysplasia associated with depression and psychosis and to discuss the role of these developmental abnormalities in psychiatric disturbances.

Methods: The patient's clinico-anamnestic, neuroradiologic, neuropsychiatric, endocrinologic, ophthalmologic, and genetic profile was evaluated.

Conclusions: Developmental abnormalities due to disruption of the complex neural network linking the septum pellucidum with other limbic structures may have been involved in the affective and psychotic disturbances observed in our patient.

Publication types

  • Case Reports

MeSH terms

  • Antimanic Agents / therapeutic use
  • Antipsychotic Agents / therapeutic use
  • Benzodiazepines / therapeutic use
  • Depressive Disorder / complications
  • Depressive Disorder / drug therapy
  • Depressive Disorder / psychology*
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Middle Aged
  • Neuropsychological Tests
  • Olanzapine
  • Psychotic Disorders / complications
  • Psychotic Disorders / drug therapy
  • Psychotic Disorders / psychology*
  • Septo-Optic Dysplasia / complications
  • Septo-Optic Dysplasia / drug therapy
  • Septo-Optic Dysplasia / psychology*
  • Tomography, X-Ray Computed
  • Valproic Acid / therapeutic use
  • Visual Fields
  • Wechsler Scales

Substances

  • Antimanic Agents
  • Antipsychotic Agents
  • Benzodiazepines
  • Valproic Acid
  • Olanzapine