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KMID : 1118520130100030303
Psychiatry Investigation
2013 Volume.10 No. 3 p.303 ~ p.305
Impulsive Behavior and Recurrent Major Depression Associated with Dandy-Walker Variant
Kim Ji-Hyun

Kim Tae-Ho
Choi Young-Chil
Chung Soon-Cheol
Moon Seok-Woo
Abstract
Reported herein is a case of recurrent major depression with impulse control difficulty in a 33-year-old man with Dandy-Walker variant. He was diagnosed as having major depressive disorder a year before he presented himself to the authors¡¯ hospital, and had a history of three-time admission to a psychiatric unit in the previous 12 months. He was readmitted and treated with sodium valporate 1,500 mg/day, mirtazapine 45 mg/day, and quetiapine 800 mg/day during the three months that he was confined in the authors¡¯ hospital, and the symptoms were reduced within three months but remained thereafter. This is the only case so far reporting recurrent depression with impulse control difficulty associated with Dandy-Walker variant. This case implies that any cerebellar lesion may cause the appearance of recurrent depression with impulse control difficulty in major depressive disorder.
KEYWORD
Dandy-Walker variant, Cerebellum, Depression, Impulse control, Aggression
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