title: [Cerebral multisystem atrophy in a patient with depressive hallucinatory syndrome. A case report].
abstract: In a female patient, aged 47 years at the beginning, the successive appearance of extrapyramidal signs preceded by depression, paranoid-hallucinatory psychosis, autonomic and cerebellar dysfunction was followed up over a period of 8 years. Autopsy revealed--in accordance with the clinical symptomatology--both olivo-ponto-cerebellar atrophy and a striatonigral degeneration. As a rule these changes are accompanied by dementia. The reported case is unusual in having first presented with severe depression and paranoid-hallucinatory symptoms.
authors.affiliation: Universitäts-Nervenklinik, Universität des Saarlandes, Homburg.
authors.forename: B
authors.initials: B
authors.lastname: Ziegler
authors.forename: W
authors.initials: W
authors.lastname: Tönjes
authors.forename: W
authors.initials: W
authors.lastname: Trabert
authors.forename: H
authors.initials: H
authors.lastname: Kolles
mesh_terms: D001933:Brain Stem / Q000473:pathology; D002531:Cerebellum / Q000473:pathology; D003866:Depressive Disorder / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology; D003937:Diagnosis, Differential; D005260:Female; D006212:Hallucinations / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology; D006801:Humans; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology; D009460:Neurologic Examination; D009849:Olivopontocerebellar Atrophies / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology; D013577:Syndrome; D014057:Tomography, X-Ray Computed
vernacular_title: Zerebrale Multisystematrophie bei einer Patientin mit depressiv-halluzinatorischem Syndrom. Ein Fallbericht.