Abstract
Bipolar disorder occurs in the elderly ages and is frequently
associated to a brain injury -cerebrovascular disease.
Its diagnosis is based on the finding of an ischemic injury
in specific regions of the brain. The case of a
63-year-old male with cardiovascular risk factors, who was
admitted due to maniform picture during a two-year long
bipolar affective syndrome is presented. The neuroimaging
tests showed lacunar infarction in the right thalamus and
diffuse foci of ischemia in subcortical white matter having
right predominance. Due to the refractoriness to psychodrugs
of an endogenomorphic depressive episode, electroconvulsive
therapy was prescribed, with normalization of
motor component, although without mood stabilization.
The therapeutic strategies and the evolution of this form of
bipolarity are discussed.
associated to a brain injury -cerebrovascular disease.
Its diagnosis is based on the finding of an ischemic injury
in specific regions of the brain. The case of a
63-year-old male with cardiovascular risk factors, who was
admitted due to maniform picture during a two-year long
bipolar affective syndrome is presented. The neuroimaging
tests showed lacunar infarction in the right thalamus and
diffuse foci of ischemia in subcortical white matter having
right predominance. Due to the refractoriness to psychodrugs
of an endogenomorphic depressive episode, electroconvulsive
therapy was prescribed, with normalization of
motor component, although without mood stabilization.
The therapeutic strategies and the evolution of this form of
bipolarity are discussed.
Original language | English |
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Pages (from-to) | 233-235 |
Journal | ACTAS ESPANOLAS DE PSIQUIATRIA |
Volume | 37 |
Issue number | 4 |
Publication status | Published - Aug 2009 |