0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Letters   |    
A Case of Acute Demyelinating Encephalitis Presenting as Manic Symptoms
Omopariola Adegbola, M.D.; Nahla Mahgoub, M.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2014;26:E17-E18. doi:10.1176/appi.neuropsych.13010003
View Author and Article Information

The authors have no direct financial interests in the subject materials discussed in the article.

Geriatric Psychiatry Fellow

Assistant Professor of Psychiatry
Weill Medical College of Cornell University, Westchester Division
White Plains, NY

Correspondence: Dr. Mahgoub; e-mail: namd06@aol.com and nam2024@med.cornell.edu

Copyright © 2014 by the American Psychiatric Association

Extract

To the Editor: Differentiating a manic episode of bipolar disorder from mania secondary to a medical condition in older adults is challenging. The diagnostic dilemma appears when the patient has an established diagnosis of bipolar disorder from a young age. The neuropsychiatric manifestations are similar, and there have been numerous conditions to which secondary mania can be attributed. A thorough differential diagnosis should be considered to help guide appropriate management. Evidence suggests that neurological conditions are the most common causes of secondary mania. In a retrospective study examining 50 manic patients older than age 65, neurological disorders were reported in 74% of the patients.1 We summarize a case of mania that emerged in the context of acute demyelinating encephalitis in an elderly patient with a diagnosis of bipolar disorder since adolescence.

Figures in this Article

First Page Preview

View Large
First page PDF preview

Topics

encephalitis
Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

Tohen  M;  Castillo  J;  Pope  HG  Jr  et al:  Concomitant use of valproate and carbamazepine in bipolar and schizoaffective disorders.  J Clin Psychopharmacol 1994; 14:67–70
[CrossRef] | [PubMed]
 
Starkstein  SE;  Mayberg  HS;  Berthier  ML  et al:  Mania after brain injury: neuroradiological and metabolic findings.  Ann Neurol 1990; 27:652–659
[CrossRef] | [PubMed]
 
Holtzheimer  PE;  Mayberg  HS:  Neuropsychiatric aspects of mood disorders, in  Textbook of Neuropsychiatry and Behavioral Neurosciences, 5th Edition . Edited by Yudofsky  SC;  Hales  RE.  Washington, DC,  American Psychiatric Publishing, Inc., 2008, pp 1003–1024
 
Belli  H;  Akbudak  M;  Ural  C  et al:  Solitary lesion in ponto-mesencephalic area related secondary mania: a case report.  Psychiatr Danub 2012; 24:223–225
[PubMed]
 
Forster  B;  Antognini  FC;  Stoll  A:  Geriatric bipolar disorder, in  Principles and Practice of Geriatric Psychiatry . Edited by Agronin  ME;  Maletta  GJ.  Baltimore, MD,  Lippincott Williams & Wilkins, 2006, pp 369–391
 
References Container
+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
DSM-5™ Clinical Cases > Chapter 3.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 27.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 48.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 48.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 48.  >
Topic Collections
Psychiatric News
PubMed Articles