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Tijdschrift voor Psychiatrie 55 (2013) 8, 625 - 630

Case report

Resident old-age psychiatrists need training in the interpretation of cerebral imaging: a pituitary incidentaloma

M.J. van Woelderen, R.M. Marijnissen, S.C. Stalpers-Konijnenburg, R.C. Oude Voshaar

Summary

Due to the increased use of cerebral imaging with higher sensitivity, the old-age psychiatrist is more likely to find unexpected lesions. We report on a 73-year-old man with schizoaffective disorder and increasing cognitive deterioration. When given a diagnostic mri cerebrum a pituitary incidentaloma was found. An overview of the literature shows a high prevalence of pituitary incidentalomas. Complications are generally rare, but one should be alert. The old-age psychiatrist should take the lead in the assessment and interpretation of such imaging results. The relevant skills for this task should be developed in the field of old-age psychiatry during the residency training in psychiatry.

keywords pituitary incidentalomas, the elderly, training in geriatric psychiatry