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Delirious mania intractable to treatment

Published online by Cambridge University Press:  29 May 2015

N. O’Callaghan ,
C. McDonald  and
B. Hallahan
N. O’Callaghan*
Affiliation:
Galway Roscommon Mental Health Services, Health Service Executive West, Galway, Ireland
C. McDonald
Affiliation:
Galway Roscommon Mental Health Services, Health Service Executive West, Galway, Ireland Department of Psychiatry, National University of Ireland Galway, Galway, Ireland
B. Hallahan
Affiliation:
Galway Roscommon Mental Health Services, Health Service Executive West, Galway, Ireland Department of Psychiatry, National University of Ireland Galway, Galway, Ireland
*
*Address for correspondence: Dr N. O’Callaghan, Department of Psychiatry, Galway Roscommon Mental Health Services, Galway, Ireland. (Email: niamh_ocallaghan@yahoo.ie)
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Abstract

We present the case of a 68-year-old lady with a background diagnosis of bipolar disorder, who developed significant episodes of intractable delirium during each of her last three inpatient psychiatric admissions, where she was admitted with mania and psychosis. The case demonstrates diagnostic and management difficulties secondary to this delirium. We discuss the probable cause of this delirium and the various management strategies utilised in an effort to ameliorate her condition.

Keywords

Bipolar disorderdeliriuminsomnia
Type
Case Report
Information
Irish Journal of Psychological Medicine , Volume 33 , Issue 2 , June 2016 , pp. 129 - 132
Copyright
© College of Psychiatrists of Ireland 2015 

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References

Bond, TC (1980). Recognition of acute delirious mania. Archives of General Psychiatry 37, 553–554.Google Scholar
Fink, M (1999). Delirious mania. Bipolar Disorders 1, 54–60.CrossRefGoogle ScholarPubMed
Inouye, SK (2006). Delirium in older persons. New England Journal of Medicine 354, 1157–1165.Google Scholar
Inouye, SK, Charpentier, PA (1996). Precipitating factors for delirium in hospitalized elderly persons. Predictive model and interrelationship with baseline vulnerability. Journal of the American Medical Association 20, 852–857.Google Scholar
Inouye, SK, Westendorp, RGJ, Saczynski, JS (2014). Delirium in elderly people. Lancet 383, 911–922.Google Scholar
International Classification of Disease (ICD)-10 (1994). Classification of Mental and Behavioural Disorders. ICD: Geneva.Google Scholar
Maldeniya, PM, Vasudev, A (2013). Is the concept of delirious mania valid in the elderly? A case report and a review of the literature. Case Reports in Psychiatry 2013, 432568, doi:10.1155/2013/432568.CrossRefGoogle Scholar
National Institute for Clinical Excellence (NICE) (2010). Guidelines Delirium: Diagnosis, Prevention and Management (CG103). NICE: London.Google Scholar
Ryan, DJ, O’Regan, NA, Ó Caoimh, R, Clare, J, O’Connor, M, Leonard, M, McFarland, J, Tighe, S, O’Sullivan, K, Trzepacz, PT, Meagher, D, Timmons, S. (2013). Delirium in an adult acute hospital population: predictors, prevalence and detection. BMJ Open 3, e001772, doi:10.1136/bmjopen-2012-001772.Google Scholar
Watson, PL, Ceriana, P, Fanfulla, F (2012). Delirium: is sleep important? Best Practice and Research Clinical Anaesthesiology 26, 355–366.Google Scholar