Fernando Campos Gomes Pinto
Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery of the Institute of Psychiatry, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (IPq-HCFMUSP), São Paulo, SP, Brazil.
Gabriela Stump
Institute of Psychiatry, Faculdade de Medicina da Universidade de São Paulo (IPq-HCFMUSP), São Paulo, SP, Brazil.
Leandro Valiengo
Neuroscience Laboratory – LIM 27, Institute of Psychiatry, Faculdade de Medicina da Universidade de São Paulo (IPq-HCFMUSP), São Paulo, SP, Brazil.
Matheus Fernandes de Oliveira
Group of Cerebral Hydrodynamics, Division of Functional Neurosurgery of the Institute of Psychiatry, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (IPq-HCFMUSP), São Paulo, SP, Brazil.
Abstract:
Normal pressure hydrocephalus (NPH) is a syndrome characterized by urinary incontinence, gait disturbance and dementia plus dilation of ventricular system due to disturbance of cerebrospinal fluid (CSF) circulation. There is wide scientifical evidence pointing association between NPH and psychiatric symptoms. Othello syndrome (OS) is a content-specific jealousy delusion characterized by fixed false belief that one’s partner has been or is being unfaithful. We report an unusual case of NPH associated with Othello-like syndrome, and complete improvement of psychiatric symptoms after proper neurosurgical treatment.
Keywords:urinary incontinence ,jealousy delusion ,cerebrospinal fluid