Objective: Brain tumors are often associated with neurological as well as with psychiatric symptoms. Cotard's syndrome is a rare condition characterized with monothematic nihilistic delusions concerning one's own body. It is not listed as a specific disorder in the DSM-IV or in ICD-X, as it is typically viewed as a part of other underlying disorders. Delusions are most commonly related to a loss of specific body part or a body as a whole. Syndrome was described for the first time by Jules Cotard in 1880.g as a new form of agitated melancholy. Although most commonly described as a part of schizophrenia, bipolar disorder or psychotic depression it is also associated with numerous neurological conditions such as encephalitis, Parkinson's disease, migraine, brain tumors, a-v malformations or traumas. Methods: In this poster we describe 37 years old patient diagnosed with glioblastoma which developed Cotard's syndrome in postoperative care. Patient was operated twice, and treated in post-op care with chemo and radiotherapy. Results: Our patient manifested Cotard's syndrome as negative delusions, stating total absence of his heart and right arm. According to our data search we found Cotard's syndrome rarely associated to glioblastoma. His pharmacotherapy included fluvoxamine, promazine, diazepam, phenobarbital and dexamethasone. His discharge diagnoses (ICD-XI) were: F06.7; F91 because of C71.2 and 3; Brain tumor of right parietooccipital region (PHD glioblastoma multiforme); St. post op and reop; St post radiotherapy; St post chemotherapy, Sensomotoric dysphasia; Right sided hemiparesis. Conclusion: It remains important to recognize the syndrome because specific underlying mechanisms are present, and prognostic and therapeutic consequences have to be taken into account.
| Symptom | Subdomain | Domain |
|---|---|---|
| cotard syndrome | Reality Monitoring | Cognitive Systems |
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