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Anxiety, phobia, and depression in patients with temporal arachnoid cyst–a case report

MOJ Clinical & Medical Case Reports
Chunhui Yang,1,4 Junyi Zhang,1 Xiaoxue Zhang,1 Naiqi Feng,2 Limei Hao,3 Sandeep Gaonkar4

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Arachnoid cysts are the most common intracranial cysts and their role in causing psychiatric symptoms is often under recognized. Their clinical manifestations vary and are often unspecific. Among the most common complaints are headache, ataxia, seizures, dizziness, and visual changes. A few cases with associated psychiatric symptoms have been reported. Here we presented a 13-year-old right-handed female patient with normal development, presented with significant unspecified depressive, anxious, phobia and déjà vu, as well as somatic symptoms, including dizziness, vertigo, and headaches. She showed poor clinical response to Ability and valproic acid. She presented normal findings in neurologic and physical examinations as well as in the basic laboratory workups. However, the incidental head MRI showed a large arachnoid cyst involving the whole right temporal lobe.
In recent years special interest exhibited in whether intracranial arachnoid cysts are the source of psychological or psychiatric problems. Our case along with the literature reviewed made us to think arachnoid cysts seem to play an essential role in the disturbance in affection and cognition as well. It is highly suggested that the arachnoid cysts should be removed in some situations to relieve the refractory psychiatric symptoms.


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