Case presentation:

• Female.
• 64 y.o.
• Bipolar disorder.
• Cognitive impairment 4 years of evolution with slow progression.
• Depressive symptoms. Confabultaion. Cognitive decline.
• CT scan: atrophy. 

Teaching points:

• Brain SPECT in the diagnosis of dementia in adult patient with congnitive impairment and psychiatric pathology.