Mania following head trauma
ABSTRACT The authors present psychiatric and neurologic data on 20 patients who developed mania after closed head trauma. An association was seen between severity of head trauma (based on length of posttraumatic amnesia), posttraumatic seizure disorder, and type of bipolar disorder. The manic episodes were characterized by irritable mood rather than euphoria and by assaultiveness. Psychosis occurred in only 15% of the sample, and 70% had no depressive episodes. Bipolar disorders were absent among 85 first-degree relatives. The authors suggest that posttraumatic seizures may be a predisposing factor in posttraumatic mania.
- SourceAvailable from: Ricardo E. Jorge
- "These authors found a significant association between mania and the presence of post-traumatic seizures , predominantly of the partial complex type (temporal lobe epilepsy). There was no association, however, with family history of bipolar disorder among first-degree relatives (Shukla et al., 1987). We have previously reported that six out of 66 TBI patients (9%) developed manic or mixed episodes at some point during the first year following TBI. "
Article: Mood disorders.[Show abstract] [Hide abstract]
ABSTRACT: Mood disturbances, especially depressive disorders, are the most frequent neuropsychiatric complication of traumatic brain injury (TBI). These disorders have a complex clinical presentation and are highly comorbid with anxiety, substance misuse, and other behavioral alterations such as impulsivity and aggression. Furthermore, once developed, mood disorders tend to have a chronic and refractory course. Thus, the functional repercussion of these disorders is huge, affecting the rehabilitation process and the long-term outcome of TBI patients. The pathophysiology of mood disorders involves the interplay of factors that precede trauma (e.g., genetic vulnerability and previous psychiatric history), factors that pertain to the traumatic injury itself (e.g., type, extent, and location of brain damage) and factors that influence the recovery process (e.g., family and social support). It is hardly surprising that mood disorders are associated with structural and functional changes of neural circuits linking brain areas specialized in emotional processing such as the prefrontal cortex, basal ganglia, and amygdala. In turn, the onset of mood disorders may contribute to further prefrontal dysfunction among TBI patients. Finally, in spite of the prevalence and impact of these disorders, there have been relatively few rigorous studies of therapeutic options. Development of treatment strategies constitutes a priority in this field of research. © 2015 Elsevier B.V. All rights reserved.Handbook of Clinical Neurology 01/2015; 128. DOI:10.1016/B978-0-444-63521-1.00038-8
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- "Association to trauma severity, cognitive impairment and seizures was not found. However, another study related mania after TBI to seizures (Shukla et al 1987). A case report by Murai and Fujimoto (2003) described a patient who developed rapid cycling bipolar symptoms after a circumscribed lesion in the left temporal pole due to TBI. "
ABSTRACT: Psychiatric disorders after traumatic brain injury (TBI) are frequent. Researches in this area are important for the patients' care and they may provide hints for the comprehension of primary psychiatric disorders. Here we approach epidemiology, diagnosis, associated factors and treatment of the main psychiatric disorders after TBI. Finally, the present situation of the knowledge in this field is discussed.Neuropsychiatric Disease and Treatment 09/2008; 4(4):797-816. · 2.15 Impact Factor
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ABSTRACT: ZET: Sol temporal bölge lezyonu ile ilişkili atipik psiki-yatrik semptomlara sahip iki olgu sunumu Genel tıbbi durumla ilişkili pek çok etmen psikiyatrik bozukluklara sebep olabilir ve beyin lezyonları da özellikle tipik olmayan belirti ve bulgular oluşturması sebebiyle önemli bir risk faktörüdür. Psikiyatrik belirtilerle beyin içi lezyonun tipi ve lokalizasyonu arasında ilişki vardır. Bu vaka sunumunda sol temporal bölgede lezyonu bulunan iki olgu dolayısıyla, belirgin nörolojik belirtiler ortaya çıkmadan görülen karışık psikiyatrik belirtiler ve bu tür olgularda tedavi yaklaşımları tartışılacaktır. Her iki olgu da hem tanı hem de tedavi açısından klinisyenin beyin lezyonuna ikin-cil olarak oluşan psikiyatrik bozuklukların ayırıcı tanısının yapılmasında dikkatli olması gerektiğini hatırlatmaktadır. Anahtar sözcükler: Duygudurum, beyin lezyonu, temporal lob, hasarlanma, antiepileptik Kli nik Psi ko far ma ko lo ji Bül te ni 2010;20:329-333 ABS TRACT: Atypical psychiatric symptoms associated with left temporal lesion: two cases Brain lesion is a major risk factor for the development of psychiatric symptoms. There is an association between lesion type, location, and psychiatric symptoms. Common psychiatric comorbidities of brain lesions include affective, cognitive, and behavioral disorders; therefore, organic causes should be carefully investigated by clinicians and treatment regimens planned by considering organic causes. In this report, two patients with left temporal lesions, who developed atypical psychiatric symptoms, are described and the distinctive features of their diagnoses are summarized.