Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 May 29;61(2):180-183.
doi: 10.29399/npa.28519. eCollection 2024.

Recurrent Psychotic Depression Associated with Chronic Subdural Haematoma: A Case Report

Anıl Alp  1 , M İrem Yıldız  1 , Elçin Özçelik Eroğlu  1 , A İlkay Işıkay  2 , Yavuz Ayhan  1 , Aygün Ertuğrul  1
Affiliations
Case Reports

Recurrent Psychotic Depression Associated with Chronic Subdural Haematoma: A Case Report

Anıl Alp et al. Noro Psikiyatr Ars. .

Abstract

Chronic subdural hematomas (CSDH) with isolated psychiatric presentation are rare. In this paper, we report a case of 77-year-old-female patient who had psychotic depression after repetitive head trauma without any neurological symptoms. The brain magnetic resonance imaging revealed an 20 mm subdural hematoma in the right frontoparietal region and a 7 mm subdural hematoma in the left frontal region. The psychiatric symptoms improved within the first week after evacuation but relapsed with the occurrence of right sided pneumocephalus. In the follow up, with the disappearance of the pneumocephalus, the psychiatric symptoms improved. It should be kept in mind that isolated psychiatric symptoms can be seen due to subdural hematoma and evacuation of the hematoma has an important role in improving the psychiatric symptoms.

Keywords: Depression; pneumocephalus; psychosis; subdural hematoma.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: The authors declared that there is no conflict of interest.

Figures

Figure 1
Figure 1
Brain MRI performed in November 2020 shows subdural hematoma (red arrow) in the right frontoparietal region and hippocampus was compatible with age (MTA score: 2) (orange arrows) on T2W-coronal section (13).
Figure 2
Figure 2
It is shown that pneumocephalus (blue arrow) in the right frontal region and mild midline shift (yellow arrow) is observed on the 2nd postoperative day.
Figure 3
Figure 3
The relationship between patient’s intracranial regional events and PANSS/HAM-D scores is shown. HAM-D: Hamilton, PANSS: Positive and Negative Syndrome Scale
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Sahyouni R, Goshtasbi K, Mahmoodi A, Tran DK, Chen JW. Chronic subdural hematoma:a historical and clinical perspective. World Neurosurg. 2017;108:948–953. - PubMed
    1. Kar SK, Kumar D, Singh P, Upadhyay PK. Psychiatric manifestation of chronic subdural hematoma:the unfolding of mystery in a homeless patient. Indian J Psychol Med. 2015;37(2):239–242. - PMC - PubMed
    1. Alarcon RD, Thweatt RW. A case of subdural hematoma mimicking severe depression with conversion-like symptoms. Am J Psychiatry. 1983;140(10):1360–1361. - PubMed
    1. Nagatomo I, Ueyama K, Fukuzako H, Matsumoto K. Three cases of chronic subdural hematoma with depressive state. Jpn J Psychiatry Neurol. 1990;44(4):703–707. - PubMed
    1. Elie M, Primeau F, Cole MG. Chronic subdural hematoma in the elderly:a case report. J Geriatr Psychiatry Neurol. 1996;9(2):100–101. - PubMed

Publication types

LinkOut - more resources