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Developing a Rat Model for Bipolar Disorder
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Late-onset Bipolar I Disorder
Anthony Salem1, Nikita Shah2, Danielle Geraldi-Samara3
1Medicine, Staten Island University Hospital, Staten Island, USA.
Cureus
|November 10, 2018
Summary
Late-onset mania in a 71-year-old man was diagnosed as Bipolar I disorder after ruling out other causes. This case highlights the importance of considering bipolar disorder even in elderly patients presenting with acute manic symptoms.
Area of Science:
- Psychiatry
- Neurology
Background:
- Bipolar I disorder is a chronic mental health condition characterized by alternating episodes of mania and depression.
- Typical onset for Bipolar I disorder occurs between ages 20 and 50.
- Late-onset presentation is less common but clinically significant.
Observation:
- A 71-year-old male presented with acute manic symptoms.
- The patient's advanced age made the diagnosis of Bipolar I disorder unusual.
- A comprehensive medical workup, including neuroimaging, was performed to exclude organic causes.
Findings:
- The patient was diagnosed with Bipolar I disorder.
- Organic etiologies for the manic symptoms were successfully ruled out.
- The diagnosis was confirmed despite the atypical late onset.
Implications:
- This case underscores the necessity of considering Bipolar I disorder in elderly individuals presenting with mania.
- Timely diagnosis and management are crucial for improving patient outcomes, regardless of age of onset.
- Pharmacological intervention with risperidone was initiated for symptom management.
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