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Characterizing organic mood syndrome, manic type

J R Cornelius1, H Fabrega, J Mezzich

  • 1Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh, PA 15213.

Comprehensive Psychiatry
|September 1, 1994
PubMed
Summary
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Organic mood syndrome, manic type (OMS-M) presents with less severe acute symptoms but greater long-term impairment than bipolar disorder. OMS-M patients show earlier onset, more developmental issues, and a high prevalence of neurological and seizure disorders.

Area of Science:

  • Neuroscience
  • Psychiatry
  • Clinical Psychology

Background:

  • Organic mood syndrome, manic type (OMS-M) is poorly understood.
  • Distinguishing OMS-M from functional mania (bipolar disorder, manic type [BD-M]) is clinically important.

Purpose of the Study:

  • To provide the first empirical description of OMS-M clinical features.
  • To compare OMS-M with BD-M.

Main Methods:

  • Analysis of 12 OMS-M cases diagnosed over a 5-year period.
  • Use of the DSM-III compatible Initial Evaluation Form.
  • Comparison of OMS-M with BD-M on symptom profiles and clinical factors.

Main Results:

  • OMS-M patients showed less severe acute symptoms but more long-term functional impairment than BD-M patients.

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  • OMS-M patients had an earlier age of onset, more perinatal problems, and developmental delays.
  • Neurological disorders, particularly seizure disorders, were highly prevalent in OMS-M, exceeding other organic brain syndromes (OBS).
  • Conclusions:

    • OMS-M has distinct clinical features differentiating it from BD-M.
    • Neurological comorbidities, especially seizures, are a hallmark of OMS-M.
    • Further research is needed to understand the pathophysiology and treatment of OMS-M.