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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr0220102713.
Published online Jul 15, 2010. doi:  10.1136/bcr.02.2010.2713
PMCID: PMC3034202
Unusual presentation of more common disease/injury
What works for delirious catatonic mania?
Kamini Vasudev1 and Heinz Grunze2
1Department of Rehabilitation Psychiatry, NTW Trust, Morpeth, UK
2Division of Psychiatry, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK
Correspondence to Kamini Vasudev, kaminivasudev/at/hotmail.com
Abstract
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.
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