Pituitary adenoma with hypothalamic involvement: a case of ‘atypical’ atypical depression
Journal Title: Open Journal of Psychiatry & Allied Sciences - Year 2018, Vol 9, Issue 2
Abstract
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.
Authors and Affiliations
Manjunadh Muraleedharan, Rishikesh V Behere
Keywords
Related Articles
- EP ID EP362257
- DOI 10.5958/2394-2061.2018.00021.6
- Views 106
- Downloads 0
Exploring the role of compassion satisfaction and compassion fatigue in predicting burnout among police officers
Objective: Prior research on police practices has highlighted the plethora of operational and organisational stressors that police officers face throughout their careers. Work-related demands, acute stress, and lack of o...
Psychotherapeutic management of hypochondriasis: a case study
Objectives: The present study aims to explore the course of hypochondriasis and to assess the efficacy of psychotherapeutic management in alleviating the symptoms associated with hypochondriasis and to improve the client...
Music therapy for institutionalised elderly persons with depression
The geriatric population of India accounts more than six per cent of the total population. The number of elderly in Kerala is expected to reach 7.2 million by 2021 and 11.9 millions in 2051. The present study was conduct...
A study of serum magnesium and serum calcium in major depressive disorder
Background: Depression is arguably the epidemic of our time. In one of the reports of the World Health Organization, it was projected that depression and heart disease will be the most common diseases on Earth by 2020. T...
Children of persons with alcohol dependence syndrome: risks and resilience, theories and interventions
Children of persons with alcohol dependence syndrome (ADS) are susceptible to develop various psychosocial problems and carry them into their later life. They are at-risk group to develop alcohol and other drug use-relat...