Seizures, Psychosis, and Cerebral Vascular Malformation: A Rare Chain of Events

Background. In psychiatry, anatomical abnormalities are sometimes forgotten, and this can mislead doctors into thinking that the diagnosis is purely psychiatric. A physical examination is important whenever it is possible. Even though cerebral arteriovenous malformations (cAVMs) are rare and can go...

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Main Authors: Ismail Hanine, Khadija Benallel, Roukaya Benjelloun, Mohamed Kadiri
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2024/8656715
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author Ismail Hanine
Khadija Benallel
Roukaya Benjelloun
Mohamed Kadiri
author_facet Ismail Hanine
Khadija Benallel
Roukaya Benjelloun
Mohamed Kadiri
author_sort Ismail Hanine
collection DOAJ
description Background. In psychiatry, anatomical abnormalities are sometimes forgotten, and this can mislead doctors into thinking that the diagnosis is purely psychiatric. A physical examination is important whenever it is possible. Even though cerebral arteriovenous malformations (cAVMs) are rare and can go unnoticed, in some cases they can cause clinical symptoms, which is a complication. Case Presentation. In this case, we describe a patient with no prior medical or psychiatric history having a cAVM diagnosed after showing psychotic symptoms (delusion and disorganized thoughts and behavior). The deep 4 × 5 cm cAVM was discovered after admitting the patient to psychiatric ward, the neurological cause has been considered after a recorded seizure, which brings the following question: Is the clinical presentation a direct result of the cAVM or is it postictal? Conclusions. An abnormality leading to another, here is how we could describe our patient’s psychopathology leading to psychotic symptoms. The two hypotheses explaining this case report have a low rate of occurring making this a rare case. Either way, neurological cause cannot be overlooked even if the clinical presentation is typical.
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spelling doaj-art-31b70d6b2ebc488293ea327c3453f4292025-02-03T01:29:45ZengWileyCase Reports in Psychiatry2090-68382024-01-01202410.1155/2024/8656715Seizures, Psychosis, and Cerebral Vascular Malformation: A Rare Chain of EventsIsmail Hanine0Khadija Benallel1Roukaya Benjelloun2Mohamed Kadiri3Mohamed V Military Hospital of RabatMohamed V Military Hospital of RabatMohammed VI University of Health Sciences of CasablancaMohamed V Military Hospital of RabatBackground. In psychiatry, anatomical abnormalities are sometimes forgotten, and this can mislead doctors into thinking that the diagnosis is purely psychiatric. A physical examination is important whenever it is possible. Even though cerebral arteriovenous malformations (cAVMs) are rare and can go unnoticed, in some cases they can cause clinical symptoms, which is a complication. Case Presentation. In this case, we describe a patient with no prior medical or psychiatric history having a cAVM diagnosed after showing psychotic symptoms (delusion and disorganized thoughts and behavior). The deep 4 × 5 cm cAVM was discovered after admitting the patient to psychiatric ward, the neurological cause has been considered after a recorded seizure, which brings the following question: Is the clinical presentation a direct result of the cAVM or is it postictal? Conclusions. An abnormality leading to another, here is how we could describe our patient’s psychopathology leading to psychotic symptoms. The two hypotheses explaining this case report have a low rate of occurring making this a rare case. Either way, neurological cause cannot be overlooked even if the clinical presentation is typical.http://dx.doi.org/10.1155/2024/8656715
spellingShingle Ismail Hanine
Khadija Benallel
Roukaya Benjelloun
Mohamed Kadiri
Seizures, Psychosis, and Cerebral Vascular Malformation: A Rare Chain of Events
Case Reports in Psychiatry
title Seizures, Psychosis, and Cerebral Vascular Malformation: A Rare Chain of Events
title_full Seizures, Psychosis, and Cerebral Vascular Malformation: A Rare Chain of Events
title_fullStr Seizures, Psychosis, and Cerebral Vascular Malformation: A Rare Chain of Events
title_full_unstemmed Seizures, Psychosis, and Cerebral Vascular Malformation: A Rare Chain of Events
title_short Seizures, Psychosis, and Cerebral Vascular Malformation: A Rare Chain of Events
title_sort seizures psychosis and cerebral vascular malformation a rare chain of events
url http://dx.doi.org/10.1155/2024/8656715
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