A 52 year old woman- an old recurring patient of psychiatry department is shown for various examinations at departments of medicine, neurology etc. Finally, a computed tomography (CT) was done which revealed her inside story! Clinical presentation: Then and Now 20 years long history of schizophrenia- Managed by olanzapine 20 mg daily 15 years of positive for remission symptoms Since 2 weeks new symptoms: Persecutory delusions, anhedonia, disorganized speech, decreased appetite, and suicidal ideation- Managed by clozapine 50 mg daily Since 15 days dizziness, convulsive episode, and then expressive aphasia CT (Fig.
A) showed 7 cm tumor in the left frontoparietal transition Today, Neurosurgery- Meningothelial meningioma (histopathology) removal Upto 3- year post surgery (Fig. B) - Uneventful, stable recovery with new medication Source: Brazilian Journal of Psychiatry *This case is from…
