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Scholars Journal of Medical Case Reports | Volume-13 | Issue-12
Acute Behavioral Change in a Stable Schizophrenic Patient Revealing Posterior Fossa Tumors with Obstructive Hydrocephalus: A Case Report
Bouchra El Hafidi, Zainab ENNACIRI, Saadia KARROUMI, Mohamed BERGHALOUT, Imane Adali, Fatiha MANOUDI
Published: Dec. 16, 2025 |
50
29
Pages: 2957-2959
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Abstract
Background: Behavioral disturbances in patients with chronic psychiatric disorders are often attributed to relapse, which may delay the detection of underlying neurological disease [1]. Case Presentation: We report the case of a 58-year-old man with a 30-year history of schizophrenia, stable for six years under typical antipsychotic treatment, presenting with acute behavioral change. Imaging revealed multiple cerebellar lesions with perilesional edema causing fourth-ventricle compression and Tri ventricular hydrocephalus. Conclusion: This case highlights the need for systematic neurological evaluation and neuroimaging in acute behavioral changes among psychiatric patients, particularly older adults, to avoid diagnostic overshadowing [2,3].