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Post-stroke mania late in life involving the left hemisphere
1Aged Persons' Mental Health Program, North-western Health, Sunshine Hospital, St Albans, Victoria, Australia.
Objective:
Although post-stroke depression is well recognised, post-stroke mania has rarely been reported and researched. Most reported cases have involved lesions of the non-dominant hemisphere. We report a case of late-onset mania following stroke with a lesion in the dominant hemisphere.
Clinical Picture:
A 78-year-old, right-handed man developed sudden cognitive deficits and manic symptoms. Investigations revealed lesions in the dominant hemisphere.
Treatment:
Pharmacological intervention was complicated by side effects.
Outcome:
His symptoms resolved gradually over 2 months and he was back to normal in 4 months.
Conclusions:
We would encourage further study in the area of post-stroke mania and especially in relation to the site of the lesion in the brain.