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Tijdschrift voor Psychiatrie 53 (2011) 6, 371 - 376

Case report

‘Histrionic personality disorder with regression and conversion’: a meningioma

A.M.L. Oude Elberink, M.S. Oudijn, V.I.H. Kwa, H.L. Van

A 47-year-old woman, who was believed to be suffering from histrionic personality disorder with regression and conversion, was finally diagnosed with a frontal meningioma. Patients with meningiomas can present with a variety of psychiatric symptoms, sometimes even before neurological symptoms occur. The diagnosis is often delayed because the symptoms are misleading and it is difficult to modify a psychiatric diagnosis once this has been made. Discussion focuses on the characteristic signs of a meningioma, the reasons for delays in diagnosis and the indications for brain-imaging on psychiatric patients.

keywords imaging, meningioma, personality disorder