Poststroke Bipolar Disorder. Issue 11 (November 2021)

• Record Type: Journal Article
• Authors: Saraiva, Rodrigo; Proença, Filipa; Gonçalves, Maria; Sereijo, Carolina; Barandas, Rita; Coentre, Ricardo; Levy, Pedro
• Is Part Of: Journal of nervous and mental disease. Volume 209:Issue 11(2021)
• Page Start: 851
• Page End: 854
• Publication Date: 2021-11
• Subjects: Bipolar disorder -- vascular mania -- poststroke mania; Neurology -- Periodicals; Psychiatry -- Periodicals; Neurology; Psychiatry; Neurologie; Psychiatrie; Neurology; Psychiatry; Periodicals; 616.8005
• DOI: 10.1097/NMD.0000000000001410
• Languages: English
• ISSNs: 0022-3018

Abstract

Abstract: Various diseases that impact different systems and organs in the body may trigger manic episodes. Strokes are often associated with psychiatric symptoms, particularly depressive and, more rarely, manic. We herein report a case of bipolar disorder secondary to cerebrovascular disease in a 67-year-old man with no personal or family history of psychiatric illness who, at the age of 64, had a bilateral ischemic stroke in the middle cerebral artery territory. About 20 days after this stroke, he experienced a manic episode. Three years later, he experienced a second manic episode, with another hospitalization in a psychiatric ward. With this case, we intend to emphasize that, although rare, the diagnosis of mania after stroke should not be forgotten, and most important, one should be aware of the recurrence of affective episodes just as in non–medical-caused bipolar disorder.