Bir Olgu Sunumu Eşliğinde Geriatrik Afektif Belirtiler: Bipolarite Mi, Demans Mı?

Year 2025, Volume: 7 Issue: 1, 137 - 142, 25.02.2025

İsmet Esra Çiçek , Mert Meydan

https://doi.org/10.52827/hititmedj.1494480

Abstract

Bipolar bozukluk ve demans birbirinden bağımsız , ilişkisiz iki tanısal gruptur. Literatürde son zamanlarda bipolar bozuklukların ve demansın patofizyolojik süreçlerinde bazı ortak noktalar tanımlanmıştır. Bununla birlikte, bu ilişki klinik düzeyde yeterince değerlendirilmemiştir, çünkü yaşlılardaki afektif düzensizlik tipik olarak demansa sekonder duygusal ve davranışsal komplikasyona atfedilme eğiliminde olmuştur.
Burada; manik semptomatoloji ile polikliniğimize başvuran daha önce bipolar bozukluk tanısı olmayan, demans tanısı ile takip ve tedavisi devam ederken antidepresan eklenmesi ile manik belirtiler başlayan, klinik değerlendirme sonucu bipolar tip VI tanısı ile uyumlu olduğu düşünülen seksen dokuz yaşında erkek hasta ile ilgili klinik bilgiler sunulmuş ve literatür eşliğinde tartışılmıştır .

Keywords

Bipolar bozukluk, Demans, Geç başlangıçlı manik epizot

Geriatric Affective Symptoms In A Case Report: Bipolarity or Dementia?

Abstract

Bipolar disorder and dementia are two independent and unrelated diagnostic groups. Some commonalities in the pathophysiological processes of bipolar disorders and dementia have recently been described in the literature. However, this link has not been adequately evaluated at the clinical level, as affective dysregulation in the elderly has typically tended to be attributed to an emotional and behavioral complication secondary to dementia. Here, a 89-year-old male patient, who applied to our outpatient clinic with manic symptomatology, was not diagnosed with bipolar disorder before, and was diagnosed with bipolar type VI as a result of clinical evaluation, whose manic symptoms started with the addition of antidepressants while his follow-up and treatment continued with the diagnosis of dementia, is presented and discussed.

Keywords

Bipolar disorder, dementia, first manic episode

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