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Itzen M, Sheldon J, Meyers CA, Green D, Long C, Buckley B
Neuropsychological and emotional challenges in a 38-year-old man with a brain tumor
Cancer Pract (2002) 10:266-8.
Mark Itzen reports the case of HK, a 38-yr-old White man who had an accidental fall. A CT scan of his brain revealed an incidental finding of a 1.5-m area of low density. A follow-up MRI scan demonstrated a lesion at the coronal suture and several centimeters above the sphenoid wing. HK then underwent a left frontal craniotomy, and pathology revealed anaplastic astrocytoma. 30 conformal radiation treatments for 6 wks were recommended. During the course of radiation therapy, HK reported that he had purposely taken extra clonidine pills the previous night in what he termed "a call for help." He said that he was depressed about his diagnosis, with specific suicidal ideation. HK was evaluated in the psychiatry clinic but made no commitment or arrangement for follow-up care. In addition, HK's partner called to report that he had counted HK's medications and that there was no indication that HK had ever taken an overdose as he had reported. The partner reported that HK might have fabricated the story about an overdose to gain attention. Four responses to this case are provided by the following authors: John Sheldon, Christina A. Meyers, Donna Green, and Carolyn Long and Barbara Buckley. (PsycINFO Database Record (c) 2003 APA, all rights reserved).
Publication Date: 2002-11-01.
Last updated on Monday, July 06, 2020