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Journal of ECT:
doi: 10.1097/YCT.0b013e3181914d28
Case Reports

Efficacy of Electroconvulsive Therapy in Fahr Disease Associated With Bipolar Psychotic Disorder: A Case Report

Casamassima, Francesco MD*†; Lattanzi, Lorenzo MD*; Perlis, Roy H. MD, MSc†‡; Fratta, Sara MD*; Litta, Antonella MD*; Longobardi, Antonio MD*; Stange, Jonathan P. BA†; Tatulli, Alessandro MD*; Cassano, Giovanni B. MD*

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Abstract

We report a case of a patient with Fahr disease affected by bipolar disorder type I with psychotic symptoms. The complex clinical picture, characterized by both neurological and psychiatric symptoms, proved to be partially or completely resistant to several pharmacological trials. On the contrary, a marked improvement of clinical picture occurred after a cycle of 10 sessions of electroconvulsive therapy, followed by a complete and sustained resolution of mood, cognitive, motor, and behavioral symptoms during the next 4 years.

© 2009 Lippincott Williams & Wilkins, Inc.

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