Left Temporal Lobe Arachnoid Cyst Presenting with Symptoms of Psychosis

Arachnoid cysts are considered a rare neurological tumor, few of which exhibit any symptomatology. A 38-year-old Haitian American female with no past psychiatric history presented with rapid onset of psychosis. Workup for medical etiology proved to be within normal limits, with the exception of a left temporal lobe arachnoid cyst. The purpose of this paper is to add to a number of existing case reports that suggest a relationship between such lesions and psychiatric illness.

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Psychosis-like syndrome associated with intermittent intracranial hypertension caused by a large arachnoid cyst of the left temporal lobe

British Journal of Neurosurgery ◽

10.1080/02688690600776986 ◽

2006 ◽

Vol 20 (3) ◽

pp. 156-159 ◽

Cited By ~ 13

Author(s):

Antonis F. Vakis ◽

Dimitris I. Koutentakis ◽

Dimitris A. Karabetsos ◽

George N. Kalostos

Keyword(s):

Intracranial Hypertension ◽

Temporal Lobe ◽

Arachnoid Cyst ◽

Left Temporal Lobe

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Temporal lobe hypogenesis associated with arachnoid cyst in patients with epilepsy

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2003000300001 ◽

2003 ◽

Vol 61 (2B) ◽

pp. 327-329 ◽

Cited By ~ 8

Author(s):

Eliane Kobayashi ◽

Leonardo Bonilha ◽

Li M. Li ◽

Fernando Cendes

Keyword(s):

Temporal Lobe ◽

Arachnoid Cyst ◽

Visual Analysis ◽

Arachnoid Cysts ◽

Left Temporal Lobe ◽

Mri Scans ◽

Patients With Epilepsy

OBJECTIVE: To determine the frequency of temporal lobe hypogenesis (TLH) associated with arachnoid cysts (AC) in patients with epilepsy. METHOD: We retrospectively revised 655 consecutive MRI scans from patients followed in our epilepsy clinic. We identified patients with temporal AC and then performed careful visual analysis in a workstation. Patients with evident expansive or destructive lesions were excluded. RESULTS: Only 4 (0.6%) patients had AC in the left temporal lobe, all associated with TLH. In addition, there were also ipsilateral dysgenetic characteristics in the ipsilateral hippocampus including abnormal shape and axis, and hyperintense T2 signal. In one patient this hippocampal abnormality was bilateral. CONCLUSION: AC with TLH was rarely found in our patients with epilepsy and it was always associated with hippocampal dysgenesis. Although volumetric reduction of the temporal lobe can be observed in patients with epilepsy and hippocampal abnormalities, the presence of adjacent AC points to a malformative etiology.

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Language Localization in Cases of Left Temporal Lobe Arachnoid Cyst: Evidence against Interhemispheric Reorganization

Brain and Language ◽

10.1006/brln.2000.2358 ◽

2000 ◽

Vol 75 (3) ◽

pp. 347-358 ◽

Cited By ~ 21

Author(s):

L.A. Stowe ◽

K.G. Go ◽

J. Pruim ◽

W. den Dunnen ◽

L.C. Meiners ◽

...

Keyword(s):

Temporal Lobe ◽

Arachnoid Cyst ◽

Left Temporal Lobe

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Language plasticity in children with left temporal lobe epilepsy

Neuropediatrics ◽

10.1055/s-2008-1079483 ◽

2008 ◽

Vol 39 (01) ◽

Author(s):

AN Datta ◽

I Jambaqué ◽

G Dellatolas ◽

C Bulteau ◽

M Fohlen ◽

...

Keyword(s):

Temporal Lobe Epilepsy ◽

Temporal Lobe ◽

Left Temporal Lobe

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Middle fossa arachnoid cyst with temporal lobe agenesis accompanying isodense subdural hematoma: a case report

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1987.23.6.936 ◽

1987 ◽

Vol 23 (6) ◽

pp. 936

Author(s):

K S Lee ◽

H S Choi ◽

M J Kim ◽

S O Yang ◽

C J Kim

Keyword(s):

Case Report ◽

Temporal Lobe ◽

Arachnoid Cyst ◽

Subdural Hematoma ◽

Middle Fossa

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Spermatorrhea in a Chinese patient with temporal lobe epilepsy: a case report

Journal of International Medical Research ◽

10.1177/0300060520982814 ◽

2021 ◽

Vol 49 (1) ◽

pp. 030006052098281

Author(s):

Liang Zhang ◽

Hao Yu ◽

Dan Li ◽

Hui Qian ◽

Yuchao Chen

Keyword(s):

Erectile Dysfunction ◽

Case Report ◽

Sexual Dysfunction ◽

Temporal Lobe Epilepsy ◽

Temporal Lobe ◽

Neurological Disorder ◽

Premature Ejaculation ◽

Chinese Patient ◽

Left Temporal Lobe ◽

Rare Manifestation

Epilepsy is a chronic neurological disorder that is characterized by episodes of seizure. Sexual dysfunction has been reported in patients with seizure, which mostly manifests as erectile dysfunction and premature ejaculation in men. In this study, we report the case of a 65-year-old Chinese man with frequent spermatorrhea. Electroencephalography suggested local epilepsy in the left temporal lobe. After treatment with anti-epilepsy drugs, the symptoms disappeared and did not recur. To the best of our knowledge, this is the first reported case of epilepsy-induced spermatorrhea. The symptoms of spermatorrhea are probably a rare manifestation of seizure. When repetitive stereotyped symptoms occur, seizure should be considered, and tentative anti-epileptic treatment may be a good option.

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