BMJ Case Reports 2009; doi:10.1136/bcr.06.2008.0317
  • Reminder of important clinical lesson

Stendhal syndrome: a case of cultural overload

  1. Timothy Richard Joseph Nicholson1,
  2. Carmine Pariante2,
  3. Declan McLoughlin3
  1. 1
    Institute of Psychiatry, Cognitive Neuropsychiatry, De Crespigny Park Road, London SE17 3RX, UK
  2. 2
    Institute of Psychiatry, Division of Psychological Medicine and Psychiatry, PO 63, Institute of Psychiatry, De Crespigny Park Road, London SE5 8AF, UK
  3. 3
    Trinity College Dublin, Department of Psychiatry & Institute of Neuroscience, St Patrick’s Hospital, James’s Street, Dublin, Ireland
  1. trjnicholson{at}
  • Published 20 February 2009


An elderly artist developed a transient paranoid psychosis when on a cultural tour of Florence, a city of particular emotional significance to him. He has since had several milder relapses that quickly settle.


  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication

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