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Septo-optic Dysplasia and Psychiatric Disorders: A Case Report

Bini, Paola MD*; Montalbetti, Lorenza MD*; Tosca, Pietro MD*; Ratti, Maria Teresa PhD*; Uggetti, Carla MD; Moglia, Arrigo MD*; Costa, Alfredo MD

Cognitive & Behavioral Neurology: December 2008 - Volume 21 - Issue 4 - pp 254-257
doi: 10.1097/WNN.0b013e3181910f02
Case Reports

Background: Septo-optic dysplasia, a variable combination of abnormalities of cerebral midline structures, is a clinically heterogeneous syndrome in which the midline defects may be implicated in psychiatric disturbances.

Objective: To describe a case of septo-optic dysplasia associated with depression and psychosis and to discuss the role of these developmental abnormalities in psychiatric disturbances.

Methods: The patient's clinico-anamnestic, neuroradiologic, neuropsychiatric, endocrinologic, ophthalmologic, and genetic profile was evaluated.

Conclusions: Developmental abnormalities due to disruption of the complex neural network linking the septum pellucidum with other limbic structures may have been involved in the affective and psychotic disturbances observed in our patient.

Departments of *Behavioural Neurology

Neuroradiology

Section of Neurobiological Psychiatry, UCADH, Institute of Neurology IRCCS C. Mondino, University of Pavia, Italy

Reprints: Paola Bini, MD, Department of Behavioural Neurology, Institute of Neurology IRCCS C. Mondino, via Mondino 2, Pavia 27100, Italy (e-mail paola.bini@mondino.it).

Received for publication March 17, 2008; accepted September 30, 2008

© 2008 Lippincott Williams & Wilkins, Inc.