| Delirious mania: detection, diagnosis, and clinical management in the acute setting. | |
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MedLine Citation:
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PMID: 23334676 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Delirious mania is a severe but under-recognized neuropsychiatric syndrome characterized by the rapid onset of delirium, mania, and psychosis, not associated with a prior toxicity, physical illness, or mental disorder. Catatonia is often a prominent feature of the syndrome. While initially believed to be rare, recent reports suggest that delirious mania may constitute up to 15% of all acute mania cases. When delirious mania is unrecognized or improperly treated, it can progress rapidly in severity and can become life-threatening. This article reviews the pathophysiology, diagnosis, and treatment of delirious mania and includes a detailed case report. Delirious mania is robustly responsive to high-dose lorazepam or electroconvulsive therapy (ECT); thus, early recognition and definitive treatment can be life-saving. |
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Authors:
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Natalie L Jacobowski; Stephan Heckers; William V Bobo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of psychiatric practice Volume: 19 ISSN: 1538-1145 ISO Abbreviation: J Psychiatr Pract Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2013-01-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100901141 Medline TA: J Psychiatr Pract Country: United States |
Other Details:
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Languages: eng Pagination: 15-28 Citation Subset: IM |
Affiliation:
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JACOBOWSKI and HECKERS: Vanderbilt University School of Medicine, Nashville, TN; BOBO. The Mayo Clinic, Rochester, MN. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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