title: [Delusional melancholia and multiple lacunar infarcts of the basal ganglia].
abstract: A 72 years-old man presented with melancholia with delusions, possibly resulting from multiple lacunar infarcts in the basal ganglia. This case is akin to the syndrome of psychic akinesia and compulsive activity, resulting from lenticular nucleus lesions or frontal lobe lesions. We suggest that melancholia could be a consequence of a certain type of stereotyped mental activity and we would compare this stereotyped mental activity to stereotyped verbal activity in aphasia. Cognitive impairment might then be a cause of depression.
authors.affiliation: Service de Psychiatrie Générale, Universitaire de Lille.
authors.forename: T
authors.initials: T
authors.lastname: Danel
authors.forename: M
authors.initials: M
authors.lastname: Goudemand
authors.forename: F
authors.initials: F
authors.lastname: Ghawche
authors.forename: O
authors.initials: O
authors.lastname: Godefroy
authors.forename: J P
authors.initials: JP
authors.lastname: Pruvo
authors.forename: G
authors.initials: G
authors.lastname: Vaiva
authors.forename: E
authors.initials: E
authors.lastname: Samaille
authors.forename: F
authors.initials: F
authors.lastname: Pandit
mesh_terms: D000368:Aged; D001479:Basal Ganglia / Q000098:blood supply*; D002544:Cerebral Infarction / Q000150:complications*; D003702:Delusions / Q000209:etiology*; D003866:Depressive Disorder / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male