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- Title
Depresja czy apatia? Pułapki diagnostyczne: olbrzymi oponiak prawego płata czołowego rozpoznany I leczony jako epizod depresji umiarkowanej atypowej -- opis przypadku.
- Authors
Pawełczyk, Agnieszka; Łojek, Emilia; Rabe-Jabłońska, Jolanta; Pawełczyk, Tomasz; Godlewski, Bartosz; Radek, Maciej
- Abstract
Neurobehavioral changes observed in patients with brain tumours may appear as cognitive deficits, mood disturbances, changes in behaviour or decreased adaptability (e.g. drowsiness, apathy, loss of spontaneity, fatigue). They are initially subtle, develop insidiously, and their severity often changes. Serious diagnostic problems can be caused by mood disorders, psychotic symptoms, personality changes, from disinhibition to apathy, observed in such patients. The problem in distinguishing them from organic psychiatric disorders, often poses a challenge for psychiatrists, neurologists and general practitioners. We describe a case difficult to diagnose because of apathy, due to a brain tumour in the right frontal lobe, diagnosed as depression. Another difficulty, rather suggesting mood disorder, was rheumatoid arthritis. Thorough and meticulous analysis of clinical data, neuropsychological assessment and neuroimaging diagnosis may help to assess aetiology of the observed disorders which can have similar clinical pictures but various causes.
- Subjects
DIAGNOSIS of mental depression; APATHY; FRONTAL lobe; NEUROBEHAVIORAL disorders; CASE studies; AFFECTIVE disorders; NEUROLOGISTS; BRAIN tumors
- Publication
Psychiatria Polska, 2012, Vol 46, Issue 5, p903
- ISSN
0033-2674
- Publication type
Article