Porencephalic cyst and late onset brief psychotic disorder

We present the first psychotic attack of a 43-year-old woman who was married for 20 years and had a daughter. The patient had no previous psychiatric or neurological history. She had no drug and no family psychiatric history. The patient had suddenly started suspecting her husband' of infidelity and checking his personal belongings and mobile phone. Sleep disorder, paranoid ideation and irritability were prominent during this period. A problem with her daughter changing schools because of poor educational performance was the only triggering event. Her symptoms started at the time. On mental state examination, the patient was tired-looking and self-care was fair, whereas cooperation and orientation were full. She expressed …