Affiliation:
1. Department of Psychiatry, Nandkumar Singh Chouhan Government Medical College, Khandwa, Madhya Pradesh, India
2. Tele MANAS, National Tele Mental Health Programme, Kanke, Jharkhand, India
3. Department of Psychiatry, Shyam Shah Medical College, Rewa, Madhya Pradesh, India
Abstract
Intracranial space-occupying lesions (SOLs) account for about 5–10 deaths per 100,000 in India. They present with physical symptoms such as headache, nausea, vomiting, and weakness; neurological symptoms such as seizures, and focal neurological deficit; and behavioral changes manifesting as depression (15–20%), anxiety (30–50%), psychosis (<5%), and personality changes (16–76%). Therefore, it is necessary to do an appropriate general, neurological, and behavioral examination for proper diagnosis and management. A series of four cases who reported to psychiatric outpatient with behavioural complaints and no focal neurological deficits were reported. The most common presentation of SOLs is seizure, headache, vomiting, and loss of consciousness. Along with this complaint, some patients may present with abnormal behavior. However, it is very rare for a SOL to present solely with psychiatric or behavioral complaints. Therefore, it becomes imperative to keep a close watch on the symptoms and send for timely investigations.
Reference11 articles.
1. Clinical pattern of intra-cranial space-occupying lesion in tertiary level hospital;Datta;J Dhaka Med Coll,2019
2. Indian data on central nervous tumors: A summary of published work;Dasgupta;South Asian J Cancer,2016
3. Trends in the brain cancer incidence in India;Yeole;Asian Pac J Cancer Prev,2008
4. World Brain Tumour Day2019 | National Health Portal of India