Efficacy of Electroconvulsive Therapy in Fahr Disease Associated With Bipolar Psychotic Disorder: A Case ReportCasamassima, 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*The Journal of ECT: September 2009 - Volume 25 - Issue 3 - p 213-215 doi: 10.1097/YCT.0b013e3181914d28 Case Reports Abstract Author Information 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. From the *Division of Psychiatry, University of Pisa, Pisa, Italy; †Department of Psychiatry, Massachusetts General Hospital; and ‡Department of Psychiatry, Harvard Medical School, Boston, MA. Received in October 7, 2008; Accepted for publication October 10, 2008. Reprints: Francesco Casamassima, MD, Dipartimento di Psichiatria, University of Pisa, Via Roma, 67, 56100 Pisa, Italy (e-mail: firstname.lastname@example.org, email@example.com). © 2009 Lippincott Williams & Wilkins, Inc.