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Aust N Z J Psychiatry · Aug 1999
Case ReportsPost-stroke mania late in life involving the left hemisphere.
- D Fenn and K George.
- Aged Persons' Mental Health Program, North-western Health, Sunshine Hospital, St Albans, Victoria, Australia.
- Aust N Z J Psychiatry. 1999 Aug 1;33(4):598-600.
ObjectiveAlthough post-stroke depression is well recognised, post-stroke mania has rarely been reported and researched. Most reported cases have involved lesions of the non-dominant hemisphere. We report a case of late-onset mania following stroke with a lesion in the dominant hemisphere.Clinical PictureA 78-year-old, right-handed man developed sudden cognitive deficits and manic symptoms. Investigations revealed lesions in the dominant hemisphere.TreatmentPharmacological intervention was complicated by side effects.OutcomeHis symptoms resolved gradually over 2 months and he was back to normal in 4 months.ConclusionsWe would encourage further study in the area of post-stroke mania and especially in relation to the site of the lesion in the brain.
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