Abstract
Fahr disease is a syndrome of unknown etiology, consisting of bilateral idiopathic calcifications of basal ganglia and neuropsychiatric symptoms. We describe the case of a 70 year old man with no psychiatric background, admitted to the hospital due to the presence of depressive symptoms with economic and guilt delusions and suicidal idea. He suffered a depression 3 years ago that completely resolved with mirtazapine, and calcifications of basal ganglia were a casual finding in the CT. In the current hospital admission, the lack of efficacy of antidepressant, antipsychotic and anxiolytic treatment lead to a severe melancholy stupor that indicated electroconvulsive therapy, which controlled both the psychotic and affective symptoms, but a cognitive impairment state was observed once the psychiatric symptoms resolved.
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