Document Detail


Delirious mania: detection, diagnosis, and clinical management in the acute setting.
MedLine Citation:
PMID:  23334676     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
Natalie L Jacobowski; Stephan Heckers; William V Bobo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of psychiatric practice     Volume:  19     ISSN:  1538-1145     ISO Abbreviation:  J Psychiatr Pract     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100901141     Medline TA:  J Psychiatr Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  15-28     Citation Subset:  IM    
Affiliation:
JACOBOWSKI and HECKERS: Vanderbilt University School of Medicine, Nashville, TN; BOBO. The Mayo Clinic, Rochester, MN.
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