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Delirious mania.

M Fink1

  • 1Research Department of Long Island Jewish Hillside Hospital, the Albert Einstein College of Medicine, SUNY at Stony Brook, NY, USA. fink@lij.edu

Bipolar Disorders
|March 21, 2001
PubMed
Summary
This summary is machine-generated.

Delirious mania, a syndrome combining delirium and mania with catatonia, requires specific diagnostic identification. Electroconvulsive therapy (ECT) proved safe and effective for treating this condition.

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Area of Science:

  • Psychiatry
  • Neurology

Background:

  • Delirious mania is a rare syndrome characterized by acute onset of manic symptoms and delirium.
  • Existing literature on delirious mania is sparse, with historical observations by Bell and Bond.

Observation:

  • A 6-year study identified 14 cases of delirious mania in a tertiary care psychiatric unit.
  • Patients presented with mania (excitement, grandiosity, insomnia) and delirium (disorientation, altered consciousness).
  • Catatonia was observed in almost all identified cases.

Findings:

  • Delirious mania presents with a distinct combination of manic and delirious features, often including catatonia.
  • While lithium and neuroleptics are suggested, electroconvulsive therapy (ECT) demonstrated rapid and safe efficacy.
  • All patients treated with ECT responded within three sessions, requiring fewer than six treatments.

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Implications:

  • Delirious mania warrants specific recognition in diagnostic nomenclature.
  • Further research is needed to differentiate delirious mania from excited or malignant catatonia.
  • ECT offers a highly effective treatment option for delirious mania.