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Case Reports in Psychiatry
Volume 2014, Article ID 529052, 4 pages
http://dx.doi.org/10.1155/2014/529052
Case Report

Persistent Genital Arousal Disorder: Confluent Patient History of Agitated Depression, Paroxetine Cessation, and a Tarlov Cyst

Psychiatric Centre of Copenhagen, Bispebjerg Bakke 23, 2400 Copenhagen NV, Denmark

Received 3 September 2014; Revised 7 November 2014; Accepted 8 November 2014; Published 27 November 2014

Academic Editor: Thomas Frodl

Copyright © 2014 Simone Eibye and Hans Mørch Jensen. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of a woman suffering from persistent genital arousal disorder (PGAD) after paroxetine cessation. She was admitted to a psychiatric department and diagnosed with agitated depression. Physical investigation showed no gynaecological or neurological explanation; however, a pelvic MRI scan revealed a Tarlov cyst. Size and placement of the cyst could not explain the patient’s symptoms; thus neurosurgical approach would not be helpful. Her depression was treated with antidepressant with little effect. Electroconvulsive therapy improved the patient’s symptoms though they did not fully resolve. More awareness of PGAD and thorough interdisciplinary conferences are necessary to insure an unequivocal treatment strategy.