Polymicrogyria: An Unusual Case of Secondary Mania.
Journal
Journal of psychiatric practice
ISSN: 1538-1145
Titre abrégé: J Psychiatr Pract
Pays: United States
ID NLM: 100901141
Informations de publication
Date de publication:
01 09 2023
01 09 2023
Historique:
medline:
11
9
2023
pubmed:
8
9
2023
entrez:
7
9
2023
Statut:
epublish
Résumé
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. 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. 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. 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.
Sections du résumé
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.
MAIN FINDINGS
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.
PRINCIPAL CONCLUSION
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.
Identifiants
pubmed: 37678371
doi: 10.1097/PRA.0000000000000728
pii: 00131746-202309000-00011
doi:
Substances chimiques
Anticonvulsants
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
415-420Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). APA; 2013.
Brooks JO, Hoblyn JC. Secondary mania in older adults. Am J Psychiatry. 2005;162:2033–2038.
Krauthammer C, Klerman GL. Secondary mania: manic syndromes associated with antecedent physical illness or drugs. Arch Gen Psychiatry. 1978;35:1333–1339.
Pacchiarotti I, Anmella G, Colomer L, et al. How to treat mania. Acta Psychiatr Scand. 2020;142:173–192.
Satzer D, Bond DJ. Mania secondary to focal brain lesions: implications for understanding the functional neuroanatomy of bipolar disorder. Bipolar Disord. 2016;18:205–220.
Mendez MF. Mania in neurologic disorders. Curr Psychiatry Rep. 2000;2:440–445.
Managing bipolar disorder from urgent situations to maintenance therapy. Prim Care Companion J Clin Psychiatry. 2007;9:367–380.
Lukasiewicz M, Gerard S, Besnard A, et al. Young Mania Rating Scale: how to interpret the numbers? Determination of a severity threshold and of the minimal clinically significant difference in the EMBLEM cohort: YMRS severity cutoff. Int J Methods Psychiatr Res. 2013;22:46–58.
Sokolski KN, Denson TF. Exacerbation of mania secondary to right temporal lobe astrocytoma in a bipolar patient previously stabilized on valproate. Cogn Behav Neurol. 2003;16:234–238.
Sisodiya SM. Malformations of cortical development: burdens and insights from important causes of human epilepsy. Lancet Neurol. 2004;3:29–38.
Jansen A. Genetics of the polymicrogyria syndromes. J Med Genet. 2005;42:369–378.
Leventer RJ, Phelan EM, Coleman LT, et al. Clinical and imaging features of cortical malformations in childhood. Neurology. 1999;53:715–715.
Knott S, Forty L, Craddock N, et al. Epilepsy and bipolar disorder. Epilepsy Behav. 2015;52:267–274.
Mula M, editor. Neuropsychiatric Symptoms of Epilepsy. Springer International Publishing; 2016.
Mula M, Monaco F. Ictal and peri-ictal psychopathology. Behav Neurol. 2011;24:21–25.
Guillem E, Plas J, Musa C, et al. Ictal mania: a case report. Can J Psychiatry. 2000;45:493–494.
Rohr-Le Floch J, Gauthier G, Beaumanoir A. Confusional states of epileptic origin. Value of emergency EEG. Rev Neurol (Paris). 1988;144:425–436.
Abé C, Ekman CJ, Sellgren C, et al. Manic episodes are related to changes in frontal cortex: a longitudinal neuroimaging study of bipolar disorder 1. Brain. 2015;138:3440–3448.
Carran MA, Kohler CG, O’Connor MJ, et al. Mania following temporal lobectomy. Neurology. 2003;61:770–774.
Santos CO, Caeiro L, Ferro JM, et al. Mania and stroke: a systematic review. Cerebrovasc Dis. 2011;32:11–21.
Barahona-Corrêa JB, Cotovio G, Costa RM, et al. Right-sided brain lesions predominate among patients with lesional mania: evidence from a systematic review and pooled lesion analysis. Transl Psychiatry. 2020;10:139.
Cotovio G, Talmasov D, Barahona-Corrêa JB, et al. Mapping mania symptoms based on focal brain damage. J Clin Invest. 2020;130:5209–5222.