Casamassima Francesco, Lattanzi Lorenzo, Perlis Roy H, Fratta Sara, Litta Antonella, Longobardi Antonio, Stange Jonathan P, Tatulli Alessandro, Cassano Giovanni B
Division of Psychiatry, University of Pisa, Pisa, Italy.
J ECT. 2009 Sep;25(3):213-5. doi: 10.1097/YCT.0b013e3181914d28.
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.
我们报告一例患有法尔病(特发性家族性脑血管亚铁钙沉着症)且伴有精神病性症状的I型双相情感障碍患者。该复杂的临床症状以神经和精神症状为特征,事实证明对多种药物试验部分或完全耐药。相反,在进行了10次电休克治疗疗程后,临床症状有显著改善,随后在接下来的4年中情绪、认知、运动和行为症状完全且持续缓解。