Multifaceted approach for psychomotor excitation caused by postsurgical cerebellar cognitive affective syndrome: A case report

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  • Kinoshita Satoshi
    Department of Neuropsychiatry, Kumamoto University Hospital
  • Kanno Teppei
    Department of Neuropsychiatry, Kumamoto University Hospital
  • Kawahara Kazuhiro
    Department of Neuropsychiatry, Kumamoto University Hospital
  • Tanaka Hibiki
    Department of Neuropsychiatry, Kumamoto University Hospital
  • Boku Shuken
    Department of Neuropsychiatry, Kumamoto University Faculty of Life Sciences
  • Takebayashi Minoru
    Department of Neuropsychiatry, Kumamoto University Hospital Department of Neuropsychiatry, Kumamoto University Faculty of Life Sciences

Bibliographic Information

Other Title
  • 小脳腫瘍摘出術後の小脳性認知・情動症候群を背景に生じた精神運動興奮に対して多角的アプローチが有効であった一例
  • ショウノウ シュヨウ テキシュツ ジュツゴ ノ ショウノウセイ ニンチ ・ ジョウドウ ショウコウグン オ ハイケイ ニ ショウジタ セイシン ウンドウ コウフン ニ タイシテ タカクテキ アプローチ ガ ユウコウ デ アッタ イチレイ

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Description

<p>The cerebellum is involved not only in the motor function but also in cognition and emotion. Therefore, impairment of the cerebellum is associated with cognitive deficits and affective symptoms in addition to motor deficits, which is known as cerebellar cognitive affective syndrome (CAAS). We herein report a case of psychomotor excitation caused by CAAS in which a multifaceted approach was effective.</p><p>The patient was a 20-year-old woman. She had received surgery for cerebellar astrocytoma in her childhood. She experienced a problem with walking at 18 years of age following emergency surgery for obstructive hydrocephaly, an aftereffect of the surgery for astrocytoma. Since then, her walking problem worsened every time she received surgery for obstructive hydrocephaly, which seriously afflicted her. At 20 years of age, she had severe psychomotor excitation and self-harmed with suicidal ideation during hospitalization in the neurosurgery unit of Kumamoto University Hospital. She was moved to the neuropsychiatry unit and diagnosed with CAAS. Although her psychomotor excitation was ifficult to treat with medication alone, the combination of medication, psychological treatment and environmental coordination was effective. She was then able to move to a rehabilitation hospital.</p><p>In addition to CAAS, psychological and environmental factors were involved in her psychomotor excitation. Therefore, it is considered that medication alone was not effective and that the combination of medication, psychological treatment and environmental coordination, known as the bio-psycho-social approach, was effective for improving the psychomotor excitation caused by CAAS.</p>

Journal

  • Kyushu Neuropsychiatry

    Kyushu Neuropsychiatry 66 (2), 49-53, 2020-08-15

    The Association of Kyushu Neuropsychiatry

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