Erotomania preceding an aneurysmal subarachnid hemorrhage: is there an association?

Suarez-Richards, Manuel; Fournes, O.

doi:10.1016/s0165-0327(01)00338-x

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…5 To our knowledge, this is the first documented case of association between intracranial aneurysm and paranoia with subsequent bipolar depression. It is still unclear how intracranial aneurysm causes depression, mania, and paranoia in Mr. M's case.…”

Section: New-onset Paranoia and Bipolar Disorder Associated With Intrmentioning

confidence: 71%

New-Onset Paranoia and Bipolar Disorder Associated With Intracranial Aneurysm

Woo¹,

Sevilla²

2007

JNP

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Section: New-onset Paranoia and Bipolar Disorder Associated With Intrmentioning

confidence: 71%

New-Onset Paranoia and Bipolar Disorder Associated With Intracranial Aneurysm

Woo¹,

Sevilla²

2007

JNP

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“…10,11 With respect to the new onset of trichotillomania in this patient, the craniotomy, brain retraction, and/or ventricular drain placement may have damaged the right inferior frontal gyrus, an area implicated in impulse control disorders. With the exception of the current report and two previous case studies, there is little information on the coincidence of cerebral aneurysms and psychiatric disorders.…”

Section: Discussionmentioning

confidence: 98%

Resolution of Bipolar II and Panic Disorders Following Subarachnoid Hemorrhage

Etches

Schmidt²,

Alda³

et al. 2009

Journal of Psychiatric Practice

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Cerebral infarction producing psychiatric disorders such as depression and mania is a recognized phenomenon. However, resolution of affective disorders following stroke has not been previously reported. We describe the case of a 53-year-old woman with a 25-year history of treatment-resistant bipolar II and panic disorders. At the age of 46, she experienced a subarachnoid hemorrhage with secondary vasospasm that resulted in a stroke. Shortly following the hemorrhage, the patient experienced a complete remission of both psychiatric illnesses that has been sustained for 7 years. Initial computed tomography (CT) and angiography studies revealed subarachnoid hemorrhage with intraventricular extension, communicating hydrocephalus, and aneurysms of the left posterior communicating artery and the right anterior cerebral artery. Following clipping of the left internal posterior communicating artery aneurysm, the patient developed vasospasm with further stroke symptoms. A subsequent CT scan showed a fully developed ischemic infarct in the left temporoparietal region that was confirmed by follow-up magnetic resonance imaging (MRI). We present a 7-year follow-up with complete psychiatric interview, chart review, and MRI. The present case demonstrates the importance of continued efforts to localize neural circuits involved in the pathogenesis and maintenance of affective disorders.

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Mania and Stroke: A Systematic Review

Santos

Caeiro

Ferro³

et al. 2011

Cerebrovasc Dis

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Background: Mania is a rare consequence of stroke and according to the sparse published information it is difficult to describe its demographic, clinical and prognostic characteristics. Methods: We performed a systematic review of all cases of mania and stroke to describe those characteristics. Studies were identified from comprehensive searches of electronic databases, reference lists of the studies collected and handbooks. Two authors independently assessed abstracts, and collected and extracted data. Results: From 265 abstracts, 139 were potentially relevant. For the first analysis, which tries to answer the clinical question of the relationship between mania and stroke, 49 studies met the inclusion criteria and described 74 cases. For the second analysis, we looked for an explicit temporal and causal relationship between manic symptoms and stroke, and selected 32 studies describing 49 cases. In both analyses, the typical patient was male, without a personal or family history of psychiatric disorder, with at least one vascular risk factor, but without subcortical atrophy and had suffered a right cerebral infarct. The majority of patients (92%) presented elevated mood as the first symptom. The other frequent symptoms were an increased rate or amount of speech (71%), insomnia (69%) and agitation (63%). Conclusions: Post-stroke mania should be considered in any manic patient who presents concomitant neurological focal deficits and is older than expected for the onset of primary mania. The results of a systematic study of mania in acute stroke with subsequent follow-up and data from diffusion MR or perfusion CT in a multicenter study with a central database would be relevant.

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Erotomania preceding an aneurysmal subarachnid hemorrhage: is there an association?

Cited by 3 publications

References 13 publications

New-Onset Paranoia and Bipolar Disorder Associated With Intracranial Aneurysm

New-Onset Paranoia and Bipolar Disorder Associated With Intracranial Aneurysm

Resolution of Bipolar II and Panic Disorders Following Subarachnoid Hemorrhage

Mania and Stroke: A Systematic Review

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