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Cerebellar Stroke-manifesting as Mania
Venkatesan Jagadesan1, Kannapiran R Thiruvengadam1, Rengarajalu Muralidharan1
1Department of Psychiatry, Thanjavur Medical College, Thanjavur, Tamil Nadu, India.
Indian Journal of Psychological Medicine
|July 19, 2014
Summary
Cerebellar stroke can cause secondary mania, a rare condition. This case report details a young male with left cerebellar infarct exhibiting manic symptoms like euphoria and grandiosity.
Area of Science:
- Neurology
- Psychiatry
Background:
- Secondary mania is typically associated with cerebral lesions.
- Cerebellar lesions causing secondary mania are relatively uncommon.
Observation:
- A 28-year-old male presented with cerebellar stroke symptoms including giddiness and vomiting, followed by motor deficits.
- He subsequently exhibited manic features: increased psychomotor activity, euphoria, grandiosity, and quarrelsome behavior.
Findings:
- Neurological examination confirmed left cerebellar signs: ataxia and slurred speech.
- Brain CT revealed a left cerebellar infarct.
- Psychological assessments indicated organicity and severe manic symptoms (Young Mania Rating Scale score of 32).
Implications:
- This case highlights the potential for cerebellar lesions to induce secondary mania.
- It underscores the importance of considering cerebellar pathology in unexplained manic presentations.
- Further research into the neurobiological links between cerebellar function and mood regulation is warranted.
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