Manic Episodes Due to Medical Illnesses: A Literature Review
Julio Torales1, Israel González1, Iván Barrios1
1Department of Psychiatry, School of Medical Sciences, National University of Asunción, San Lorenzo, Paraguay.
Abstract:
The body of evidence for mania as a secondary syndrome due to organic diseases is small. The clinical diagnosis and management of these patients are mainly based on clinical experience and on some case reports. Treatment should be focused on both the underlying medical illness and the control of acute symptoms. Mania due to a medical condition is relevant in the clinical setting, and thus more research is needed to add evidence-based recommendations to the currently available clinical knowledge. In this review, we summarize the latest information on the etiology, epidemiology, diagnostic aspects, and management of secondary mania.
Insights
Evidence for secondary mania due to organic diseases is limited. This review covers the latest information on the causes, diagnosis, and treatment of secondary mania, emphasizing the need for more research.
Area of Science:
- Neurology
- Psychiatry
Background:
- Mania is often idiopathic, but can be secondary to organic diseases.
- Clinical experience and case reports guide diagnosis and management.
- Limited evidence exists for secondary mania.
Purpose of the Study:
- To review current knowledge on secondary mania.
- To cover etiology, epidemiology, diagnosis, and management.
- To highlight the need for evidence-based recommendations.
Main Methods:
- Literature review of secondary mania.
- Synthesis of information on organic causes of mania.
- Analysis of diagnostic and management strategies.
Main Results:
- Secondary mania is under-researched.
- Treatment requires addressing both the underlying medical condition and manic symptoms.
- More research is needed for evidence-based guidelines.
Conclusions:
- Secondary mania is a clinically relevant condition.
- Current management relies on limited data.
- Further research is crucial to improve patient care.
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