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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(07): 601-602
DOI: 10.1590/0004-282X20160034
ARTICLE

Hoarding disorder secondary to pituitary adenoma: a case study

Acumulação compulsiva secundária a adenoma pituitário: estudo de caso
Alisson Paulino Trevizol
1   Santa Casa de São Paulo, Faculdade de Ciências Médicas, Departamento de Psiquiatria, Laboratório de Neuromodulação Clínica, Sao Paulo SP, Brazil;
,
Pedro Shiozawa
1   Santa Casa de São Paulo, Faculdade de Ciências Médicas, Departamento de Psiquiatria, Laboratório de Neuromodulação Clínica, Sao Paulo SP, Brazil;
,
Rodrigo Menezes Machado
2   Centro de Atenção Integrado à Saúde Mental de Franco da Rocha, Franco da Rocha SP, Brazil;
,
Rodrigo Lancelote Alberto
2   Centro de Atenção Integrado à Saúde Mental de Franco da Rocha, Franco da Rocha SP, Brazil;
,
Carlos Fernando Ramos
3   Universidade Federal do ABC, Centro de Matemática, Computação e Cognição, Sao Bernardo do Campo SP, Brazil.
,
Quirino Cordeiro
1   Santa Casa de São Paulo, Faculdade de Ciências Médicas, Departamento de Psiquiatria, Laboratório de Neuromodulação Clínica, Sao Paulo SP, Brazil;
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Forty-three-year-old female with hoarding disorder for one year. No other neuropsychiatric background was referred. No laboratory changes. MRI showed a solid-cystic expansive tumor of 65 x 47 x 41mm with significant mass effect over adjacent structures. Patient went through neurosurgery but died at the second day of post-operatory. Surgical pathology showed a slow-growth non-secreting pituitary adenoma. Neuroimaging studies of patients with hoarding disorder have drawn attention to specific brain regions related to the symptoms, including anterior cingulate cortex, dorsolateral prefrontal cortex and orbitofrontal cortex[1] , [2] , [3]. These structures were compressed by the tumor in the present case and could hypothetically be related to clinical presentation.

Zoom Image
Figure MRI showed a solid-cystic expansive tumor of 65 x 47 x 41 mm with significant mass effect over adjacent structures.

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Conflict of interest:

There is no conflict of interest to declare.

  • References

  • 1 Weitzner MA. Neuropsychiatry and pituitary disease: an overview. Psychother Psychosom. 1998;67(3):125-32. doi:10.1159/000012272
  • 2 Mathews CA, Perez VB, Delucchi KL, Mathalon DH. Error-related negativity in individuals with obsessive-compulsive symptoms: toward an understanding of hoarding behaviors. Biol Psychol. 2012;89(2):487-94. doi:10.1016/j.biopsycho.2011.12.018
  • 3 Weitzner MA, Kanfer S, Booth-Jones M. Apathy and pituitary disease: it has nothing to do with depression. J Neuropsychiatry Clin Neurosci. 2005;17(2):159-66.

Address for correspondence

Pedro Shiozawa
Faculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento de Psiquiatria; Rua Major Maragliano, 241; 04600-010 São Paulo SP
Brasil   

Publication History

Received: 01 September 2015

Accepted: 05 January 2016

Article published online:
06 September 2023

© 2016. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Weitzner MA. Neuropsychiatry and pituitary disease: an overview. Psychother Psychosom. 1998;67(3):125-32. doi:10.1159/000012272
  • 2 Mathews CA, Perez VB, Delucchi KL, Mathalon DH. Error-related negativity in individuals with obsessive-compulsive symptoms: toward an understanding of hoarding behaviors. Biol Psychol. 2012;89(2):487-94. doi:10.1016/j.biopsycho.2011.12.018
  • 3 Weitzner MA, Kanfer S, Booth-Jones M. Apathy and pituitary disease: it has nothing to do with depression. J Neuropsychiatry Clin Neurosci. 2005;17(2):159-66.

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Zoom Image
Figure MRI showed a solid-cystic expansive tumor of 65 x 47 x 41 mm with significant mass effect over adjacent structures.