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Frontal lobe tumor misdiagnose. A case report

Published online by Cambridge University Press:  01 September 2022

A. Franco Soler ,
H. Torregrosa Martínez ,
P. Coucheiro Limeres ,
A. Cerame  and
P. Prada Bou
A. Franco Soler*
Affiliation:
Hospital Universitario José Germain, Psychiatry Department, Leganés, Spain
H. Torregrosa Martínez
Affiliation:
Hospital Universitario Príncipe de Asturias, Neurology, Alcala de Henares, Spain
P. Coucheiro Limeres
Affiliation:
Hospital Universitario José Germain, Psychiatry Department, Leganés, Spain
A. Cerame
Affiliation:
Hospital Universitario José Germain, Hospital De Día, Leganes, Spain
P. Prada Bou
Affiliation:
Hospital Universitario Infanta Cristina, Psychiatry, Parla, Spain
*
*Corresponding author.

Abstract

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Introduction

Space occupying lesions compromising frontal lobes usually may produce in the first place psychiatric symptoms such as progressive change of personality and/or symptoms suggestive of depressive episodes. Thus they can be misdiagnosed and mistreated.

Objectives

A case report is presented as well as an updated review of frontal lobe tumor diagnosis and treatment literature.

Methods

We present the case of a 45 years-old male patient with no relevant medical history who arrives at the mental health center due to behavioral disorders, depressive mood, workplace absenteeism and personal hygiene neglect in the last 3 months.

Results

Since the clinical picture was compatible with depressive disorder the patient was treated with psychotherapy and antidepressant drugs with no remission. Due to the treatment absence of response he attends emergency services where he is performed a craneal tomograpy (CT) where a right frontal lobe tumor (FLT) is observed.

Conclusions

In early stages FLT are sometimes presented as psychological mood or anxiety disorders without accompanying neurologic deficits. Thus, mental health professionals should be aware that psychological symptoms might be a presentation of organic disease of the brain and in some cases (e.g. middle-aged patients with affective symptoms with no previous mental health history) organic screening and hence brain imaging should be considered.

Disclosure

No significant relationships.

Keywords

depressive moodFrontal lobe tumorcraneal tomography
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S639
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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