RT Journal Article
SR Electronic
T1 Cut it out or wait it out? Case series of middle fossa arachnoid cysts presenting with psychiatric symptoms and a discussion of the ethics of neurosurgical management
JF General Psychiatry
JO Gen Psych
FD BMJ Publishing Group Ltd
SP e100523
DO 10.1136/gpsych-2021-100523
VO 34
IS 6
A1 Petrus Johannes Steyn
A1 Leigh Luella Van den Heuvel
YR 2021
UL http://gpsych.bmj.com/content/34/6/e100523.abstract
AB Arachnoid cysts have been linked to neuropsychiatric morbidity. We describe two patients presenting with dissociative and manic symptoms believed to be associated with middle fossa arachnoid cysts. They were managed medically and remitted eventually, but symptoms were resistant. We briefly review the literature to discuss mechanisms by which cysts could cause symptoms and consider whether neurosurgical management would be appropriate. Although neurosurgery can be considered, its role is currently limited by practical and ethical considerations.