Delirious Mania in a Case with Multiple Demyelinating Foci
Introduction: A serious but underdiagnosed neuropsychiatric illness called delirious mania is described by the sudden onset of delirium, mania, and psychosis. Demyelination is the term used to describe the loss of myelin while axons are largely preserved. Depending on the site of insult, various neu...
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Jaypee Brothers Medical Publisher
2023-02-01
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| Series: | Indian Journal of Private Psychiatry |
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| Online Access: | https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0135 |
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| author | Debdutta Nayak Kamal Nath |
| author_facet | Debdutta Nayak Kamal Nath |
| author_sort | Debdutta Nayak |
| collection | DOAJ |
| description | Introduction: A serious but underdiagnosed neuropsychiatric illness called delirious mania is described by the sudden onset of delirium, mania, and psychosis. Demyelination is the term used to describe the loss of myelin while axons are largely preserved. Depending on the site of insult, various neuropsychiatric manifestations may appear. We are discussing a case that was presented initially as mania but after a proper evaluation it was found to be a case of delirious mania along with multiple demyelinating foci in brain imaging, which had an impact on the presentation of this case.
Case description: This is a case of 19-year-old man presented with complaints of talkativeness, tall claims, increasingly bizarre, and disorganized behavior with intermittent restlessness for the last 2 months. After a few trials with psychotropics, the patient started showing improvement with a combination of mood stabilizers and antipsychotics.
Conclusion: Recent reports suggest that delirious mania may constitute up to 15% of all acute mania cases. When delirious mania is unrecognized or improperly treated, it can progress rapidly in severity and can become life-threatening. Like in our case, patients presenting with manic symptoms should also be properly evaluated for other underlying pathology which may have a significant impact on patient’s well-being. |
| format | Article |
| id | doaj-art-b74d48c8fd7545fda8e3201574c28081 |
| institution | DOAJ |
| issn | 2319-5363 2583-4010 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Indian Journal of Private Psychiatry |
| spelling | doaj-art-b74d48c8fd7545fda8e3201574c280812025-08-20T03:18:15ZengJaypee Brothers Medical PublisherIndian Journal of Private Psychiatry2319-53632583-40102023-02-01171495010.5005/jp-journals-10067-013511Delirious Mania in a Case with Multiple Demyelinating FociDebdutta Nayak0https://orcid.org/0000-0001-7330-4441Kamal Nath1Debdutta Nayak, Department of Psychiatry, Silchar Medical College and Hospital, Silchar, Assam, India, Phone: +91 9831193036Department of Psychiatry, Silchar Medical College and Hospital, Silchar, Assam, IndiaIntroduction: A serious but underdiagnosed neuropsychiatric illness called delirious mania is described by the sudden onset of delirium, mania, and psychosis. Demyelination is the term used to describe the loss of myelin while axons are largely preserved. Depending on the site of insult, various neuropsychiatric manifestations may appear. We are discussing a case that was presented initially as mania but after a proper evaluation it was found to be a case of delirious mania along with multiple demyelinating foci in brain imaging, which had an impact on the presentation of this case. Case description: This is a case of 19-year-old man presented with complaints of talkativeness, tall claims, increasingly bizarre, and disorganized behavior with intermittent restlessness for the last 2 months. After a few trials with psychotropics, the patient started showing improvement with a combination of mood stabilizers and antipsychotics. Conclusion: Recent reports suggest that delirious mania may constitute up to 15% of all acute mania cases. When delirious mania is unrecognized or improperly treated, it can progress rapidly in severity and can become life-threatening. Like in our case, patients presenting with manic symptoms should also be properly evaluated for other underlying pathology which may have a significant impact on patient’s well-being.https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0135bells maniadelirious maniademyelinationpsychosis |
| spellingShingle | Debdutta Nayak Kamal Nath Delirious Mania in a Case with Multiple Demyelinating Foci Indian Journal of Private Psychiatry bells mania delirious mania demyelination psychosis |
| title | Delirious Mania in a Case with Multiple Demyelinating Foci |
| title_full | Delirious Mania in a Case with Multiple Demyelinating Foci |
| title_fullStr | Delirious Mania in a Case with Multiple Demyelinating Foci |
| title_full_unstemmed | Delirious Mania in a Case with Multiple Demyelinating Foci |
| title_short | Delirious Mania in a Case with Multiple Demyelinating Foci |
| title_sort | delirious mania in a case with multiple demyelinating foci |
| topic | bells mania delirious mania demyelination psychosis |
| url | https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0135 |
| work_keys_str_mv | AT debduttanayak deliriousmaniainacasewithmultipledemyelinatingfoci AT kamalnath deliriousmaniainacasewithmultipledemyelinatingfoci |