Delirious mania: Clinical features and treatment response

Karmacharya, Rakesh; England, Mary Lou; Öngür, Döst

doi:10.1016/j.jad.2007.12.001

Cited by 61 publications

(91 citation statements)

References 4 publications

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“…However, in the opinion of the WFSBP task force, ECT is still a valuable last resource in severe delirious mania which is otherwise treatment refractory (Karmacharya et al 2008).…”

Section: Physical Treatmentsmentioning

confidence: 99%

The World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Biological Treatment of Bipolar Disorders: Update 2009 on the Treatment of Acute Mania

Grunze

Vieta

Goodwin

et al. 2009

The World Journal of Biological Psychiatry

316

247

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These updated guidelines are based on a first edition that was published in 2003, and have been edited and updated with the available scientific evidence until end of 2008. Their purpose is to supply a systematic overview of all scientific evidence pertaining to the treatment of acute mania in adults. The data used for these guidelines have been extracted from a MEDLINE and EMBASE search, from the clinical trial database clinicaltrials.gov, from recent proceedings of key conferences, and from various national and international treatment guidelines. Their scientific rigor was categorised into six levels of evidence (AÁF). As these guidelines are intended for clinical use, the scientific evidence was finally asigned different grades of recommendation to ensure practicability.

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“…However, in the opinion of the WFSBP task force, ECT is still a valuable last resource in severe delirious mania which is otherwise treatment refractory (Karmacharya et al 2008).…”

Section: Physical Treatmentsmentioning

confidence: 99%

The World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Biological Treatment of Bipolar Disorders: Update 2009 on the Treatment of Acute Mania

Grunze

Vieta

Goodwin

et al. 2009

The World Journal of Biological Psychiatry

316

247

View full text Add to dashboard Cite

show abstract

“…If the clinician does not have a thorough understanding of delirious mania/excited catatonia and malignant catatonia, the reported etiology may reflect the clinician's orientation [5]. The diagnosis may also be missed as earlier treatment of the delirious mania and malignant catatonia syndromes may reduce the number of cases in which a case of nonmalignant catatonia progresses to the stuporous phase.…”

Section: Dsm IV Tr Vs Fink and Taylor Classificationsmentioning

confidence: 99%

“…Manic signs include insomnia, acute excitement, grandiosity, emotional lability, delusions, altered consciousness, disorientation characterized by delirium often accompanied by posturing, stereotypy, mutism, negativism and echo-phenomena suggesting catatonia [2,3]. An additional recently described symptom of delirious mania is pouring water over the head or on the floor [5].…”

Section: Introductionmentioning

confidence: 99%

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Delirious Mania and Malignant Catatonia: A Report of 3 Cases and Review

et al. 2009

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Delirious mania is often difficult to distinguish from excited catatonia. While some authors consider delirious mania a subtype of catatonia, the distinction between the two entities is important as treatment differs and effects outcome. It appears that as catatonia is described as having non-malignant and malignant states, the same division of severity may also apply to delirious mania. Non-malignant delirious mania meets the criteria for mania and delirium without an underlying medical disorder. The patients are amnestic, may lose control of bowel and bladder, but still respond to atypical antipsychotics and mood stabilizers. However, with increasing progression of the disease course and perhaps with an increasing load of catatonic features, delirious mania may convert to a malignant catatonic state (malignant delirious mania) which is worsened by antipsychotics and requires a trial of benzodiazepines and/or ECT. Three case reports are presented to illustrate the diagnostic conundrum of delirious mania and several different presentations of malignant catatonia.

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“…• Dos escritos en idiomas distintos al español e inglés (francés y turco) que fueron excluidos [18,19] • Ocho no se enfocaban ni en el delirium ni en la quetiapina [20][21][22][23][24][25][26][27] • Cuatro abordaban algún aspecto de la quetiapina no relacionado con el delirium [28][29][30][31] • Once hacían referencia general al tratamiento del delirium con Tabla 1. Estudios encontrados que han evaluado la efectividad de la quetiapina como tratamiento del delirium.…”

Section: Búsqueda De La Evidenciaunclassified

Evaluación de la evidencia existente sobre la efectividad de la quetiapina para el tratamiento del delirium: Análisis sistemático de Medicina Basada en la Evidencia

González

2009

Rev.Med.UCR

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Delirious mania: Clinical features and treatment response

Cited by 61 publications

References 4 publications

The World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Biological Treatment of Bipolar Disorders: Update 2009 on the Treatment of Acute Mania

The World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Biological Treatment of Bipolar Disorders: Update 2009 on the Treatment of Acute Mania

Delirious Mania and Malignant Catatonia: A Report of 3 Cases and Review

Evaluación de la evidencia existente sobre la efectividad de la quetiapina para el tratamiento del delirium: Análisis sistemático de Medicina Basada en la Evidencia

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