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Case 19 - “I Am Feeling Great”

Secondary Mania

Published online by Cambridge University Press:  31 October 2024

Matthew Gibfried
Affiliation:
Saint Louis University School of Medicine, Missouri
George T. Grossberg
Affiliation:
Saint Louis University School of Medicine, Missouri
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Summary

Mania is most commonly thought of as a phase of bipolar disorder and, for this reason, it can be easily misdiagnosed as such when a secondary cause of mania may truly be the culprit. Primary mania results from bipolar disorder. Secondary mania is a distinct form of mania that arises due to an underlying cause or condition. Mania secondary to an underlying medical condition can result from various causes. Conditions to keep in mind include primary neurological disorders, endocrine abnormalities, medications, illicit substances, infectious disease, metabolic abnormalities, autoimmune disorders, and primary brain lesions.

The workup of suspected secondary mania should first include a good history and physical. The history should focus on current medical symptoms, recent infections, use of medication or drugs of abuse, and any personal or family history of psychiatric conditions.

Type
Chapter
Information
Clinical Case Studies in Long-Term Care Psychiatry
Navigating Common Mental Health Challenges in Geriatric Care
, pp. 94 - 97
Publisher: Cambridge University Press
Print publication year: 2024

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References

Further Reading

Cuartas, C. F., & Davis, M. (2022). Valproic acid in the management of delirium. American Journal of Hospice Palliative Medicine, 39 (5), 562569. doi: 10.1177/10499091211038371. Epub 2021 Aug 19. PMID: 34409869.CrossRefGoogle ScholarPubMed
Devenney, E. M, Ahmed, R. M, & Hodges, J. R. (2019). Frontotemporal dementia. Handbook of Clinical Neurology, 167, 279299. doi: 10.1016/B978-0-12-804766-8.00015-7. PMID: 31753137.CrossRefGoogle ScholarPubMed
Jasani, R., Deacon, J. W., & Sertich, A. (2021). Corticosteroid-induced mania after previous tolerance of higher doses. Cureus, 13 (9), e17719. doi: 10.7759/cureus.17719. PMID: 34650893; PMCID: PMC8489796.Google ScholarPubMed
Jochim, J., Rifkin-Zybutz, R. P., Geddes, J., & Cipriani, A. (2019). Valproate for acute mania. Cochrane Database of Systematic Reviews, 10 (10), CD004052. doi: 10.1002/14651858.CD004052.pub2. PMID: 31621892; PMCID: PMC6953329.Google ScholarPubMed
Kendler, K. S. (2017). The clinical features of mania and their representation in modern diagnostic criteria. Psychological Medicine, 47 (6), 10131029. doi: 10.1017/S0033291716003238. Epub 2016 Dec 19. PMID: 27989245.CrossRefGoogle ScholarPubMed
Khoury, R., Liu, Y., Sheheryar, Q., & Grossberg, G. T. (2021). Pharmacotherapy for frontotemporal dementia. CNS Drugs, 35 (4), 425438. doi: 10.1007/s40263-021-00813-0. Epub 2021 Apr 11. PMID: 33840052.CrossRefGoogle ScholarPubMed
Lekurwale, V., Acharya, S., Shukla, S., & Kumar, S. (2023). Neuropsychiatric manifestations of thyroid diseases. Cureus, 15 (1), e33987. doi: 10.7759/cureus.33987. PMID: 36811059; PMCID: PMC9938951.Google ScholarPubMed
Sloan, S., & Dosumu-Johnson, R. T. (2020). A new onset of mania in a 49-year-old man: An interesting case of Wilson Disease. Journal of Psychiatric Practice, 26 (6), 510517. doi: 10.1097/PRA.0000000000000505. PMID: 33275388; PMCID: PMC10170309.CrossRefGoogle Scholar
Younes, K., & Miller, B. L. (2020). Frontotemporal dementia: Neuropathology, genetics, neuroimaging, and treatments. Psychiatric Clinics of North America, 43 (2), 331344. Doi: 10.1016/j.psc.2020.02.006. Epub 2020 Apr 8. PMID: 32439025.CrossRefGoogle ScholarPubMed

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  • “I Am Feeling Great”
  • Matthew Gibfried, Saint Louis University School of Medicine, Missouri, George T. Grossberg, Saint Louis University School of Medicine, Missouri
  • Book: Clinical Case Studies in Long-Term Care Psychiatry
  • Online publication: 31 October 2024
  • Chapter DOI: https://doi.org/10.1017/9781108630344.020
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  • “I Am Feeling Great”
  • Matthew Gibfried, Saint Louis University School of Medicine, Missouri, George T. Grossberg, Saint Louis University School of Medicine, Missouri
  • Book: Clinical Case Studies in Long-Term Care Psychiatry
  • Online publication: 31 October 2024
  • Chapter DOI: https://doi.org/10.1017/9781108630344.020
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • “I Am Feeling Great”
  • Matthew Gibfried, Saint Louis University School of Medicine, Missouri, George T. Grossberg, Saint Louis University School of Medicine, Missouri
  • Book: Clinical Case Studies in Long-Term Care Psychiatry
  • Online publication: 31 October 2024
  • Chapter DOI: https://doi.org/10.1017/9781108630344.020
Available formats
×