Clinical features of delirious mania: a series of five cases and a brief literature review

BMC Psychiatry

Research Article

Bo-Shyan Lee¹  Wen-Yu Hsu¹  Si-Sheng Huang²  Nan-Ying Chiu³ 

[1] Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, Changhua, Taiwan;Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan;Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, Changhua, Taiwan;Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan;Center of General Education, Central Taiwan University of Science and Technology, Taichung, Taiwan;Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, Changhua, Taiwan;Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan;Chang Jung Christian University, Tainan, Taiwan;

关键词: Bipolar disorder;    Delirium;    Electroconvulsive therapy;    Mania;    Catatonia;   

DOI  :  10.1186/1471-244X-12-65

 received in 2011-06-17, accepted in 2012-05-11,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundLittle is known about the cause and psychopathology of delirious mania, a type of disorder where delirium and mania occur at the same time. This condition still has no formal diagnostic classification. To provide more information about this potentially life-threatening condition, we studied five patients with delirious mania.MethodsWe describe the cases of five patients with delirious mania admitted to an acute inpatient psychiatric unit between January 2005 and January 2007, and discuss the cases in the context of a selective review of the clinical literature describing the clinical features and treatment of delirious mania.ResultsTwo patients had two episodes of delirious mania. Delirium usually resolved faster than mania though not always the case. Delirious mania remitted within seven sessions of the electroconvulsive therapy (ECT).ConclusionsDelirious mania is a potentially life-threatening but under-recognized neuropsychiatric syndrome. Delirious mania that is ineffectively treated may induce a new-onset manic episode or worsen an ongoing manic episode, and the patient will need prolonged hospitalization. Delirious mania also has a close relationship with catatonia. Early recognition and aggressive treatment, especially with electroconvulsive therapy, can significantly reduce morbidity and mortality.

【 授权许可】

Unknown   
© Lee et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.