Pituitary adenoma with hypothalamic involvement: a case of ‘atypical’ atypical depression
Pituitary tumours are known to be associated with neuropsychiatric manifestations; however, it is uncommon for the manifestations to be the sole presenting symptoms. We report a case of 29-year-old male presenting with low mood, decreased attention, forgetfulness, increased sleep, and increased appe...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Manjunadh Muraleedharan [verfasserIn] Rishikesh V Behere [verfasserIn] |
|---|
| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2018 |
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| Schlagwörter: |
Neuropsychiatry. Neuropsychology. Prolactinoma. |
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| Übergeordnetes Werk: |
In: Open Journal of Psychiatry and Allied Sciences - Academy Publisher, 2016, 9(2018), 2, Seite 164-165 |
|---|---|
| Übergeordnetes Werk: |
volume:9 ; year:2018 ; number:2 ; pages:164-165 |
| Links: |
Link aufrufen |
|---|
| DOI / URN: |
10.5958/2394-2061.2018.00021.6 |
|---|
| Katalog-ID: |
DOAJ079372473 |
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10.5958/2394-2061.2018.00021.6 doi (DE-627)DOAJ079372473 (DE-599)DOAJee57433611894c9cb3ca22f18e20526c DE-627 ger DE-627 rakwb eng RC435-571 Manjunadh Muraleedharan verfasserin aut Pituitary adenoma with hypothalamic involvement: a case of ‘atypical’ atypical depression 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pituitary tumours are known to be associated with neuropsychiatric manifestations; however, it is uncommon for the manifestations to be the sole presenting symptoms. We report a case of 29-year-old male presenting with low mood, decreased attention, forgetfulness, increased sleep, and increased appetite of three months duration. Diagnosis of moderate depression episode with atypical features was considered and started on antidepressant Bupropion up to 300 mg/day to which he showed no improvement. Considering the atypical features and poor response to antidepressants, magnetic resonance imaging (MRI) brain was done which showed pituitary macro adenoma compressing on the hypothalamus. After surgical removal of the tumour, patient’s symptoms improved. Hypothalamic involvement in this patient possibly led to manifestations mimicking atypical depression. This case highlights the importance of considering organic aetiologies in patients presenting with atypical depression. Neoplasms Neuropsychiatry. Neuropsychology. Prolactinoma. Neuropsychiatry Neuropsychology. Prolactinoma. Neuropsychology Prolactinoma. Psychiatry Rishikesh V Behere verfasserin aut In Open Journal of Psychiatry and Allied Sciences Academy Publisher, 2016 9(2018), 2, Seite 164-165 (DE-627)1760644781 23942061 nnns volume:9 year:2018 number:2 pages:164-165 https://doi.org/10.5958/2394-2061.2018.00021.6 kostenfrei https://doaj.org/article/ee57433611894c9cb3ca22f18e20526c kostenfrei https://www.ojpas.com/get_file.php?id=32436960&vnr=658694 kostenfrei https://doaj.org/toc/2394-2053 Journal toc kostenfrei https://doaj.org/toc/2394-2061 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4305 GBV_ILN_4338 AR 9 2018 2 164-165 |
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10.5958/2394-2061.2018.00021.6 doi (DE-627)DOAJ079372473 (DE-599)DOAJee57433611894c9cb3ca22f18e20526c DE-627 ger DE-627 rakwb eng RC435-571 Manjunadh Muraleedharan verfasserin aut Pituitary adenoma with hypothalamic involvement: a case of ‘atypical’ atypical depression 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pituitary tumours are known to be associated with neuropsychiatric manifestations; however, it is uncommon for the manifestations to be the sole presenting symptoms. We report a case of 29-year-old male presenting with low mood, decreased attention, forgetfulness, increased sleep, and increased appetite of three months duration. Diagnosis of moderate depression episode with atypical features was considered and started on antidepressant Bupropion up to 300 mg/day to which he showed no improvement. Considering the atypical features and poor response to antidepressants, magnetic resonance imaging (MRI) brain was done which showed pituitary macro adenoma compressing on the hypothalamus. After surgical removal of the tumour, patient’s symptoms improved. Hypothalamic involvement in this patient possibly led to manifestations mimicking atypical depression. This case highlights the importance of considering organic aetiologies in patients presenting with atypical depression. Neoplasms Neuropsychiatry. Neuropsychology. Prolactinoma. Neuropsychiatry Neuropsychology. Prolactinoma. Neuropsychology Prolactinoma. Psychiatry Rishikesh V Behere verfasserin aut In Open Journal of Psychiatry and Allied Sciences Academy Publisher, 2016 9(2018), 2, Seite 164-165 (DE-627)1760644781 23942061 nnns volume:9 year:2018 number:2 pages:164-165 https://doi.org/10.5958/2394-2061.2018.00021.6 kostenfrei https://doaj.org/article/ee57433611894c9cb3ca22f18e20526c kostenfrei https://www.ojpas.com/get_file.php?id=32436960&vnr=658694 kostenfrei https://doaj.org/toc/2394-2053 Journal toc kostenfrei https://doaj.org/toc/2394-2061 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4305 GBV_ILN_4338 AR 9 2018 2 164-165 |
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Pituitary adenoma with hypothalamic involvement: a case of ‘atypical’ atypical depression |
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Pituitary tumours are known to be associated with neuropsychiatric manifestations; however, it is uncommon for the manifestations to be the sole presenting symptoms. We report a case of 29-year-old male presenting with low mood, decreased attention, forgetfulness, increased sleep, and increased appetite of three months duration. Diagnosis of moderate depression episode with atypical features was considered and started on antidepressant Bupropion up to 300 mg/day to which he showed no improvement. Considering the atypical features and poor response to antidepressants, magnetic resonance imaging (MRI) brain was done which showed pituitary macro adenoma compressing on the hypothalamus. After surgical removal of the tumour, patient’s symptoms improved. Hypothalamic involvement in this patient possibly led to manifestations mimicking atypical depression. This case highlights the importance of considering organic aetiologies in patients presenting with atypical depression. |
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Pituitary tumours are known to be associated with neuropsychiatric manifestations; however, it is uncommon for the manifestations to be the sole presenting symptoms. We report a case of 29-year-old male presenting with low mood, decreased attention, forgetfulness, increased sleep, and increased appetite of three months duration. Diagnosis of moderate depression episode with atypical features was considered and started on antidepressant Bupropion up to 300 mg/day to which he showed no improvement. Considering the atypical features and poor response to antidepressants, magnetic resonance imaging (MRI) brain was done which showed pituitary macro adenoma compressing on the hypothalamus. After surgical removal of the tumour, patient’s symptoms improved. Hypothalamic involvement in this patient possibly led to manifestations mimicking atypical depression. This case highlights the importance of considering organic aetiologies in patients presenting with atypical depression. |
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Pituitary tumours are known to be associated with neuropsychiatric manifestations; however, it is uncommon for the manifestations to be the sole presenting symptoms. We report a case of 29-year-old male presenting with low mood, decreased attention, forgetfulness, increased sleep, and increased appetite of three months duration. Diagnosis of moderate depression episode with atypical features was considered and started on antidepressant Bupropion up to 300 mg/day to which he showed no improvement. Considering the atypical features and poor response to antidepressants, magnetic resonance imaging (MRI) brain was done which showed pituitary macro adenoma compressing on the hypothalamus. After surgical removal of the tumour, patient’s symptoms improved. Hypothalamic involvement in this patient possibly led to manifestations mimicking atypical depression. This case highlights the importance of considering organic aetiologies in patients presenting with atypical depression. |
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