Schizophrenia, bipolar disorder, or intracranial aneurysm? A case report

Yifan Shi; Yezhou Tang; Zhiguo Wu; Jun Chen; Jia Huang; Yiru Fang

doi:10.1002/brb3.2245

Schizophrenia, bipolar disorder, or intracranial aneurysm? A case report

Brain Behav. 2021 Aug;11(8):e2245. doi: 10.1002/brb3.2245. Epub 2021 Jul 21.

Authors

Yifan Shi¹, Yezhou Tang¹, Zhiguo Wu², Jun Chen¹, Jia Huang¹, Yiru Fang^{1

3

4}

Affiliations

¹ Division of Mood Disorder, Clinical Research Center, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
² Department of Psychiatry and Neuropsychology, Shanghai Deji Hospital, Qingdao University, Shanghai, China.
³ CAS Center for Excellence in Brain Science and Intelligence Technology, Shanghai, China.
⁴ Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China.

Abstract

Background: Mental disorders are a common finding among patients with unruptured intracranial aneurysms.

Case: The current case concerns a young man with an anterior communicating artery aneurysm who was misdiagnosed with schizophrenia and bipolar disorder due to his significant psychosis and mood episodes. Having undergone surgery on the unruptured intracranial aneurysm, the patient's psychiatric symptoms disappeared, and he maintained a stable mood during the 3-year postoperative period.

Discussion: The case is indicative of the need to consider the possibility of organic brain lesions in patients with first episodes of psychiatric presentations.

Keywords: bipolar disorder; intracranial aneurysm; schizophrenia; subarachnoid hemorrhage.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Bipolar Disorder*
Humans
Intracranial Aneurysm* / diagnostic imaging
Intracranial Aneurysm* / surgery
Male
Schizophrenia*
Subarachnoid Hemorrhage*