title: [SPECT and depressive pseudo-dementia. A case report].
abstract: The SPECT (Single Photon Emission Computed Tomography), a new advance in medical imagery, allows the measure of cerebral blood flow and could be of interest in studying mental disorders. We report here a case of pseudo-dementia for which a SPECT has been performed before and after treatment. Mrs V., a 49 years old female, has been suffering from a dementia-like syndrome for several months. She is divorced, has two children, lives with a boy-friend, and has been working in a factory for 25 years. The first psychiatric disorders began three years ago with a gradual apragmatism and muteness. A neuroleptic treatment gave no result. One year later, without any reason, Mrs V. recovered a normal way of life. Nevertheless, from time to time, she had some periods of subexcitation. Few months later, she relapsed in her previous state of apragmatism and muteness. During a new hospitalization, neuroleptic treatment is tried again without any success. Mrs V. is then referred to us for medical screening of a dementia syndrome. In the Unit, it is difficult to communicate with her; she looks sad or amimic and has motor stereotypies (like rubbing her feet continuously against the floor). She has polidypsia and glutonny. Neurologic examination is normal, as well as EEG, X Scan, Nuclear Magnetic Resonance. The Folstein Mini Mental State score is 9/30.(ABSTRACT TRUNCATED AT 250 WORDS)
authors.affiliation: Service de Psychiatrie d'Adulte, Hôpital Richaud, Versailles.
authors.forename: J F
authors.initials: JF
authors.lastname: Chevalier
authors.forename: N
authors.initials: N
authors.lastname: Gluck
authors.forename: E
authors.initials: E
authors.lastname: Marcel
authors.forename: M O
authors.initials: MO
authors.lastname: Habert
mesh_terms: D003866:Depressive Disorder / Q000000981:diagnostic imaging* / Q000523:psychology / Q000628:therapy; D003937:Diagnosis, Differential; D004292:Dominance, Cerebral / Q000502:physiology; D004565:Electroconvulsive Therapy; D005162:Factitious Disorders / Q000000981:diagnostic imaging* / Q000523:psychology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D005625:Frontal Lobe / Q000098:blood supply*; D006801:Humans; D008609:Mental Status Schedule; D008875:Middle Aged; D015609:Organotechnetium Compounds; D010091:Oximes; D012039:Regional Blood Flow / Q000502:physiology; D019690:Technetium Tc 99m Exametazime; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D015609:Organotechnetium Compounds; D010091:Oximes; D019690:Technetium Tc 99m Exametazime
vernacular_title: SPECT et pseudo démence dépressive. A propos d'un cas.