Polymicrogyria: An Unusual Case of Secondary Mania.
J Psychiatr Pract
; 29(5): 415-420, 2023 09 01.
Article
em En
| MEDLINE
| ID: mdl-37678371
ABSTRACT
BACKGROUND:
Secondary mania refers to a manic episode that arises during a medical illness other than bipolar disorder or in response to a drug or medication. As the psychopathological features of secondary mania resemble those of mania due to bipolar disorder, misdiagnosis is frequent. PURPOSE AND BASIC PROCEDURES We present the case of a 20-year-old woman who developed a manic episode with psychotic symptoms, in whom polymicrogyria, a malformation of the cortical development with abnormal electroencephalographic activity, was documented. After initiating antiepileptic management, the affective symptoms completely subsided. MAINFINDINGS:
To date, no specific recommendations are available concerning when to perform advanced studies in patients with a manic episode; however, as our case shows, these are much needed. PRINCIPALCONCLUSION:
Because the treatment of secondary conditions largely depends on finding the underlying cause, patients with a new-onset mania should undergo a thorough assessment for secondary causes.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtorno Bipolar
/
Polimicrogiria
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article