Religion is a complex cognitive process with biopsychosocial and cultural dimensions, product of the activation of different circuits of the neocortex. In some cases, religiosity can appear as a pathological correlate in patients with brain lesions in the areas involved. We present the clinical case of a patient with an astrocytoma in the right prefrontal region, with apparent inflammatory involvement of the right temporal lobe. This tumor debuted almost exclusively as an alteration of personality consisting of hyperreligiosity, logorrhea, and mystical experiences. A review of the literature has been conducted and possible pathophysiological mechanisms are proposed.
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http://dx.doi.org/10.1080/13554794.2016.1265985 | DOI Listing |
Limbic encephalitis is an inflammatory process of the limbic structures, with polymorphic clinical features, caused by paraneoplastic and nonparaneoplastic conditions and infections. We describe a case of neurosyphilis limbic encephalitis, presenting with reversible Geschwind syndrome (hyperreligiosity and hypergraphia) and mood disorder due to the predominant involvement of left mesial temporal structures in a previously healthy 34-year-old, left-handed woman. Because neurosyphilis can mimic common neuropsychiatric syndromes, it should be included in the differential diagnosis of psychiatric disorders with suspected general medical causes.
View Article and Find Full Text PDFNeurocase
February 2017
d Radiology Service , Hospital Universitario de Getafe, Madrid , Spain.
Religion is a complex cognitive process with biopsychosocial and cultural dimensions, product of the activation of different circuits of the neocortex. In some cases, religiosity can appear as a pathological correlate in patients with brain lesions in the areas involved. We present the clinical case of a patient with an astrocytoma in the right prefrontal region, with apparent inflammatory involvement of the right temporal lobe.
View Article and Find Full Text PDFBMJ Case Rep
August 2016
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA Yale University School of Medicine, Child Study Center, New Haven, Connecticut, USA.
Psychotic symptoms are rarely documented in association with cortex-sparing central nervous system (CNS) lesions limited to the midbrain. We present the case of a 15-year-old boy with hereditary and environmental risk factors for psychiatric illness, as well as a history of midbrain pilocytic astrocytoma treated with chemotherapy and focused radiation, who presented with non-epileptic seizures, hyper-religiosity and frank psychosis. The space-occupying midbrain lesion has been radiographically stable while the patient has decompensated psychiatrically.
View Article and Find Full Text PDFGen Hosp Psychiatry
February 2015
Mayo clinic, Department of Psychiatry and Psychology, Rochester, MN 55905.
Anti-NMDA receptor (NMDAR) encephalitis, formally recognized in 2007, has been increasingly identified as a significant cause of autoimmune and paraneoplastic encephalitis. Approximately 80% of the patients are females. The characteristic syndrome evolves in several stages, with approximately 70% of the patients presenting with a prodromal phase of fever, malaise, headache, upper respiratory tract symptoms, nausea, vomiting and diarrhoea.
View Article and Find Full Text PDFThe case history of a 19-year-old black woman who died the day after she was treated for psychosis is described. The remarkable finding in her mental status was hyper-religiosity and in postmortem was a thymoma. The report discusses the relationship between thymoma and psychosis as well as the need to look for an organic etiology in patients manifesting a sudden psychotic regression with hyper-religiosity.
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