[Depressive symptoms as differential-diagnostic problem].
The 59 year-old, high-qualified male patient had been treated for psychiatric illness due to depressive symptoms, "pathological crying", amplified somatic style and severe insomnia. Earlier he had one depressive episode. There was no psychotrauma detected to cause these symptoms and no neurological symptoms, either. The clinical appearance was psychotic depression, so combined antidepressant, anxiolytic, hypnotic, and antipsychotic therapy was started. The MAWI examination showed mild intellectual deficit, so cerebral MRI was done, also. This examination helped to verify the correct diagnosis: post-stroke depression.
Depression↗