Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-26T18:53:42.511Z Has data issue: false hasContentIssue false

Polycythaemia, Delirium and Mania

Published online by Cambridge University Press:  02 January 2018

Mohan Chawla
Affiliation:
Towers Hospital, Leicester LE5 0DT
James Lindesay*
Affiliation:
Leicester General Hospital, Leicester LE5 4PW
*
Correspondence

Abstract

The case is described of a 65-year-old woman who initially presented with delirium caused by polycythaemia rubra vera. Following venesection she was discharged home recovered, but presented again shortly after with an episode of mania associated with relapse of her polycythaemia.

Type
Brief Reports
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Broadhead, J. & Jacoby, R. (1990) Mania in old age: a first prospective study. International Journal of Geriatric Psychiatry, 5, 215222.CrossRefGoogle Scholar
Firkin, F., Chesterman, C., Pennington, D., et al (1989) De Gruchy's Clinical Haematology in Medical Practice (5th edn). Oxford: Blackwell.Google Scholar
Friedman, J. H. (1985) Syndrome of diffuse encephalopathy due to non-dominant thalamic infarction. Neurology, 35, 15241526.CrossRefGoogle Scholar
Hodkinson, H. M. (1972) Evaluation of a mental test score for assessment of mental impairment in the elderly. Age & Ageing, 1, 233238.CrossRefGoogle ScholarPubMed
House, A. & Ebrahim, S. (1991) Psychological aspects of physical disease. In Psychiatry in the Elderly (eds Jacoby, R. & Oppenheimer, C.). Oxford: Oxford University Press.Google Scholar
Krauthammer, C. & Klerman, G. L. (1978) Secondary mania. Manic syndromes associated with antecedent physical illness or drugs. Archives of General Psychiatry, 35, 13331339.CrossRefGoogle ScholarPubMed
Mazzoli, M. & Benazzi, F. (1992) Polycythaemia and psychotic depression. British Journal of Psychiatry, 160, 134135.CrossRefGoogle ScholarPubMed
Mesulam, M. M., Waxman, S. G., Geschwind, N., et al (1976) Acute confusional states with right middle cerebral artery infarctions. Journal of Neurology, Neurosurgery and Psychiatry, 39, 8489.CrossRefGoogle ScholarPubMed
Murray, D. & Hodgson, R. (1991) Polycythaemia rubra vera, cerebral ischaemia and depression. British Journal of Psychiatry, 158, 842844.CrossRefGoogle ScholarPubMed
Pattie, A. (1988) Measuring levels of disability - the Clifton Assessment Procedures for the Elderly (CAPE). In Psychological Assessment of the Elderly (eds Wattis, J. B. & Hindmarch, I.). Edinburgh: Churchill Livingstone.Google Scholar
Pearson, T. C. (1987) Rheology of absolute polycythaemias. In Bailliere's Clinical Haematology: Blood Rheology and Hyperviscosity Syndromes. London: Bailliere Tindal.Google Scholar
Robinson, R. G., Boston, J. D., Starkstein, S. E., et al (1988) Comparison of mania with depression following brain injury: causal factors. American Journal of Psychiatry, 145, 172178.Google Scholar
Santamaria, J., Blesa, R. & Tolosa, E. S. (1984) Confusional syndrome in thalamic stroke. Neurology, 34, 1618.CrossRefGoogle ScholarPubMed
Shulman, K. & Post, F. (1980) Bipolar affective disorder in old age. British Journal of Psychiatry, 136, 2632.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.