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Unusual presentation of more common disease/injury
What works for delirious catatonic mania?
  1. Kamini Vasudev1,
  2. Heinz Grunze2
  1. 1Department of Rehabilitation Psychiatry, NTW Trust, Morpeth, UK
  2. 2Division of Psychiatry, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK
  1. Correspondence to Kamini Vasudev, kaminivasudev{at}hotmail.com

Summary

Delirious mania is an under recognised clinical syndrome and little evidence is available to clarify its clinical characteristics and treatment. We analyse a case of delirious mania that was a challenge to treat. It shows the importance of recognising catatonia as a symptom of delirious mania. Electroconvulsive therapy (ECT) and mood stabilisers (lithium and valproate combination) proved to be effective treatments in our case, but a variety of factors contributed to a delay in treatment response.

https://doi.org/10.1136/bcr.02.2010.2713

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    Footnotes

    • Competing interests Heinz Grunze has received grants/research support, consulting fees and honoraria within the last 3 years from Astra Zeneca, Bial, BMS, Cephalon, Eli Lilly, Glaxo-Smith Kline, Janssen-Cilag, Organon, Pfizer Inc, Sanofi-Aventis, Servier, Shering-Plough,UBC and UCB Belgium. Kamini Vasudev has no competing interests.

    • Patient consent Obtained.