A case with manic delirium

Öz

Manic delirium is defined as co-occurrence of mania and delirium. Publications are referred to case reports. In this study, we describe a 63 years old woman with signs and symptoms of delirium and suffering from bipolar disorder. Mania symptoms were not observed during her first evaluation and monitoring. There was no toxic or medical condition that explained the delirium seen. Manic delirium seems to be an acute and severe form of bipolar disorder, which can be treated with (responsive to) antipsychotics and mood stabilizers. Manic delirium should be kept in mind as a diagnosis for the patients who present with delirium and has no organic cause to explain it.

Anahtar Kelimeler

• bipolar disorder, mania, delirium

Manik deliryum olgusu

Öz

Manik deliryum; mani ile birlikte olan deliryum olarak ifade edilir. Yayınlarda olgu sunumlarıyla ifade edilmiştir. Bu çalışmada deliryum bulguları ile başvuran 63 yaşında iki uçlu bozukluk hastası sunulmuştur. Hastanın ilk değerlendirilmesi ve izlemi boyunca herhangi bir mani belirtisi olmamakla birlikte deliryumu açıklayacak herhangi bir toksik veya tıbbi durumla da karşılaşılmamıştır. Manik deliryum, iki uçlu bozukluğun antipsikotik ve mizaç dengeleyicilerine yanıt veren akut şiddetli formu gibi gözükmektedir. Deliryum tablosu ile başvuran ve organik nedenin bulunamadığı hastalarda manik deliryum akla gelmesi gereken durumlardan biri olabilir.

Anahtar Kelimeler

• iki uçlu bozukluk, mani, deliryum

Kaynakça

1. Karmacharya R. England ML, Ongür D. Delirious mania:clinical features and treatment response. J Affect Disored 2008;109:312-6.
2. Detweiler MB, Mehra A, Rowell T, Kim KY, Bader G. Delirious mania and malignant catatonia:a report of 3 cases and review. Psychiatr Q 2009;80:23-40.
3. Calmeil LF. Dictionnaire de medicine;our repertoire general des sciences medicales considerees sous le rapport theorique et pratique. 2nd ed., Paris: Bechet, 1832.
4. Bell L. On a form of disease resembling some advanced stage of mania and fever. Am J Insanity 1849;6:97-127.
5. Kraepelin E. Manic-Depressive Insanity and Paranoia.In Translated by Barklay RM. Edited by Robertson GM. Edinburgh: Livingstone; 1921.
6. Detweiler MB,Mehra A, Rowell T, Kim KY, Bader G. Delirious mania and malignant catatonia:a report of 3 cases and review. Psychiatr Q 2009;80:23-40.
7. Weintraub D, Lippmann S. Delirious mania in the elderly. Int J Psychiatry 2001;16:374-7.
8. Ramos J, Ferreira B, Trancas B. Delirious mania or delirious affective disorder: when depression meets delirium. a case report where cognitive deficits thicken the plot. Abstracts of the 20th European Congress of Psychiatry. European Psychiatry 2012;27:202.

9. Fink M: Delirious mania. Bipolar Disord 1999;1:54-60.
10. Bond TC. Recognition of acute delirious mania. Arch Gen Psychiatry 1980;37:553-4.