2009 issue 4

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Volume 18, issue 4

Case report

Mood disorders as a mask of the dementing process - case report

Agnieszka Wlazło1, Renata Wojtyńska2, Jerzy Leszek2
1. Specjalistyczny Zespół Opieki Psychiatrycznej we Wrocławiu
2. Katedra i Klinika Psychiatrii Akademii Medycznej we Wrocławiu
Postępy Psychiatrii i Neurologii 2009; 18 (4): 399-402
Keywords: vascular dementia, depression, neuropsychological assessment, cognitive rehabilitation, case report

Abstract

Objectives. To describe a diagnostically challenging case of a 53-year-old female patient with depression symptoms and complex cogni-tive dysfunction.
Case report. Despite antidepressant treatment administered to the patient for three years, she displayed mood disorders and a gradual cognitive deterioration. A detailed diagnostic examination including neuropsychological assessment indicated that her symptoms wereprobably due to a vascular dementing process, and that the mood disorders were of reactive character. Antidepressants were replaced with apro-cognitive treatment and supplemented with psycho-corrective interventions appropriate to the patient 's individual needs, which provided good results.
Commentary. The case suggests that in patients resistant to treatment, presenting with a complex clinical picture and mixed etiology, diagnostic and therapeutic cooperation of a multi-specialist team is needed.

Address for correspondence:
Prof. Jerzy Leszek
Katedra i Klinika Psychiatrii Akademii Medycznej we Wrocławiu
ul. Pasteura 10, 50-367 Wrocław
tel. (071) 784 16 00
e-mail: jleszek@psych.am.wroc.pl