Reivindicando la manía confusa / Claiming delirious mania. A case report

Objetivo: Con el presente artículo se pretende hacer una revisión mediante la exposición de un caso clínico de la clínica, el diagnóstico y el tratamiento de la manía confusa. Caso clínico Mujer de 36 años diagnosticada de trastorno bipolar tipo I que ingresa en psiquiatría por presentar un cuadro brusco consistente en irritabilidad, inquietud, expansividad, alteraciones conductuales y discurso incoherente. Durante el ingreso se objetiva deterioro en la atención, orientación y memoria, confusión, fluctuación del comportamiento y pensamiento, y alteraciones en la psicomotricidad. Resultados La manía confusa se presenta de forma abrupta con sintomatología maniforme, psicótica y confusional, pudiendo complicarse con clínica catatoniforme. Se deben descartar causas orgánicas del cuadro y realizar diagnóstico diferencial con otros síndromes neuropsiquiátricos. El tratamiento de primera línea consiste en benzodiacepinas y TEC. Conclusiones Reconocer este cuadro clínico es relevante para instaurar tratamiento precoz y evitar las complicaciones derivadas, así como la morbimortalidad. (AU)

Objectives: The objective of this article is to review, through the presentation of a case report, the symptoms, diagnosis and treatment of delirious mania. Case report We present a 36-year-old woman diagnosed with bipolar I disorder who was admitted to psychiatry ward for presenting an abrupt episode consisting of irritability, restlessness, expansiveness, behavioral disturbances and incoherent speech. During admission, the patient was observed to have a global worsening consisting of deterioration in attention, orientation and memory, confusion, fluctuation of the symptoms and alterations in psychomotor skills. Results Delirious mania presents abruptly with manifest, psychotic and confusional symptoms, and can be complicated by catatoniform symptoms. Organic causes of the condition should be ruled out as well as a performing a differential diagnosis with other neuropsychiatric syndromes. First-line treatment consists of benzodiazepines and ECT. Conclusions Recognizing delirious mania is relevant to establish early treatment and avoid derived complications, morbidity and mortality. (AU)

[The worldwide expansion of the neurosciences: the 14th International Congress of Medicine (Madrid, 1903)]. / El auge mundial de las neurociencias: XIV Congreso Internacional de Medicina (Madrid, 1903).

INTRODUCTION: The neurosciences developed at a swift pace throughout the 19th century. In Spain, following the intellectual poverty of the absolutist rule of King Ferdinand, medicine took on a new flourishing lease of life in the last third of the century under the leadership of its most distinguished proponent, Santiago Ramon y Cajal. In April 1903, and in spite of the country's multiple political and social ups and downs, Madrid organised a great medical convention (14th International Congress of Medicine) that gathered together the foremost figures in the neurosciences. DEVELOPMENT: This work attempts to describe the situation in which neurology found itself at that time, as well as the socio-political context, and to highlight the most important contributions that were made in our specialty. CONCLUSIONS: A whole medical generation from around the world enthusiastically took part and 1681 communications and papers were presented, many of which dealt with neurological topics. Special mention should be made of the presentations by Cajal, who described the histological structure of the optic thalamus, and by Pavlov, who gave details of his theory of conditioned reflexes for the very first time.

El auge mundial de las neurociencias: XIV Congreso Internacional de Medicina (Madrid, 1903) / The worldwide expansion of the neurosciences: the 14th International Congress of Medicine (Madrid, 1903)

Introducción. Las neurociencias se desarrollan de forma acelerada a lo largo del siglo XIX. En España, tras la indigencia intelectual del absolutismo fernandino, la medicina ha emergido con fuerza en el último tercio del siglo, liderada por la magna figura de Santiago Ramón y Cajal. En abril de 1903, y a pesar de los múltiples avatares políticos y sociales del país, Madrid organiza un gran encuentro médico (XIV Congreso Internacional de Medicina) que congrega a las máximas figuras de las neurociencias.Desarrollo. Este trabajo intenta describir la coyuntura de la neurología en esas fechas, así como el contexto sociopolítico, y destacar las aportaciones más importantes en nuestra especialidad. Conclusiones. Con la participación entusiasta de toda una generación médica mundial, se presentaron 1.681 comunicaciones y memorias, con gran protagonismo de los temas neurológicos. Destaquemos las intervenciones de Cajal, que describe la estructura histológica del tálamo óptico, y de Pavlov, que expone por primera vez la teoría de los reflejos condicionados (AU)

Introduction. The neurosciences developed at a swift pace throughout the 19th century. In Spain, following the intellectual poverty of the absolutist rule of King Ferdinand, medicine took on a new flourishing lease of life in the last third of the century under the leadership of its most distinguished proponent, Santiago Ramón y Cajal. In April 1903, and in spite of the country’s multiple political and social ups and downs, Madrid organised a great medical convention (14th International Congress of Medicine) that gathered together the foremost figures in the neurosciences. Development. This work attempts to describe the situation in which neurology found itself at that time, as well as the socio-political context, and to highlight the most important contributions that were made in our specialty. Conclusions. A whole medical generation from around the world enthusiastically took part and 1681 communications and papers were presented, many of which dealt with neurological topics. Special mention should be made of the presentations by Cajal, who described the histological structure of the optic thalamus, and by Pavlov, who gave details of his theory of conditioned reflexes for the very first time (AU)