A case of right cerebellopontine-angle lesion: psychotic symptoms and magnetic resonance imaging findings

Psychiatry Investig. 2012 Sep;9(3):307-9. doi: 10.4306/pi.2012.9.3.307. Epub 2012 Sep 6.

Abstract

Here, we report psychotic symptoms together with a right cerebellopontine-angle lesion. A37-year-old female patient presented with a trigeminal Schwannoma occupying the right cerebellopontine angle. Her psychotic symptoms included auditory hallucinations and delusions of persecution. T1- and T2-weighted images on magnetic resonance imaging (MRI) revealed hyperintense and hypointense areas in the right cerebellopontine angle, respectively. The clinical and neuroimaging reviews in this case suggest that sudden onset of psychotic symptoms at a mature age may be associated with a right cerebellopontine-angle lesion and that MRI should be used to evaluate possible organic bases in patients that present with psychosis.

Keywords: Cerebellopontine angle; Magnetic resonance imaging; Psychotic symptoms.