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A case of vascular depression associated with musical hallucinations successfully treated with paroxetine and a low dose of risperidone
Author(s) -
UMENE Wakako,
YOSHIMURA Reiji,
HORI Hikaru,
NAKAMURA Jun
Publication year - 2008
Publication title -
psychogeriatrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.647
H-Index - 32
eISSN - 1479-8301
pISSN - 1346-3500
DOI - 10.1111/j.1479-8301.2007.00209.x
Subject(s) - paroxetine , risperidone , basal ganglia , depression (economics) , magnetic resonance imaging , basal (medicine) , medicine , schizophrenia (object oriented programming) , white matter , psychology , hyperintensity , psychiatry , neuroscience , radiology , antidepressant , central nervous system , anxiety , macroeconomics , insulin , economics
Herein, we report a case of an 83‐year‐old man with vascular depression associated with musical hallucinations. Brain magnetic resonance imaging disclosed diffuse brain atrophy with multiple higher‐density zones in the white matter and basal ganglia. Single photon emission computed tomography images showed areas of hypoperfusion in the bilateral temporal lobe and basal ganglia. Combination treatment with paroxetine and a low dose of risperidone rapidly improved both the depressive symptoms and musical hallucinations.