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.
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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.
Article: Mania in the elderly[Show abstract] [Hide abstract]
ABSTRACT: Mania continues to be a fascinating and important clinical entity. Its distinctive features make it amenable to systematic analysis of the genetic, environmental and biological variables that contribute to this disorder. Data from studies of the elderly may be important in helping to elucidate unanswered questions about affective disorders in younger adults. Geriatric patients offer the opportunity to study a lifetime course retrospectively and to identify familial predispositions because of prolonged exposure in first degree relatives. Finally, the nature and prevalence of heterogeneous neurological disorders, especially cerebrovascular disease, may now be clarified with modem developments in neuroimagingInternational Review of Psychiatry 07/2009; 5(4). DOI:10.3109/09540269309037806 · 1.80 Impact Factor
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ABSTRACT: Introduction: Traumatic Brain Injury (TBI) is one of the primary causes of death and disability in Colombia. The objective of the present study was to determine the cognitive, emotional, and neurobehavioral functioning of a group of individuals with TBI in Cali, Colombia. Method: A neuropsychologist administered a comprehensive neuropsycholo-gical evaluation (Neuropsi) and the Spanish-language version of the Neurobehavioral Functional Inventory (NFI) to 30 individuals with TBI from Teravida Neurological Rehabilitation Center and del Valle University Hospital in Cali, Colombia and 30 healthy controls. Results: Compared to controls, the patients scored significantly worse on attention, memory, executive functioning, and language tests. The patients scored significantly higher than controls on three sub-scales of the NFI: Depression, somatic symptoms, and communication problems. Conclusion: Patients with long-term TBI not only have cognitive difficulties, but also depressive symptoms, somatic, and communication problems, which underlines the need for these patients to receive care from health services in these two areas (cognitive and emotional-behavioral), involving them in programs of cognitive rehabilitation, psychotherapy, and psychoeducation to improve the quality of life of the patients and their families.12/2010; 39(4):697-713.