A case of subcortical grey matter heterotopia presenting as bipolar disorder.
A case of previously diagnosed bipolar disorder was found to be associated with unilateral subcortical grey matter heterotopia, cortical hemiatrophy, midline shift, and ventriculomegaly on magnetic resonance imaging (MRI). The patient responded to pharmacotherapy with lithium carbonate and carbamazepine. This case dramatically illustrates the need for neuroimaging in psychiatric patients with apparently "functional" affective illness.
Bourgeois
J A
JA
Department of Psychiatry, USAF Medical Center Wright-Patterson, OH 45433.
Nisenbaum
J
J
Drexler
K G
KG
Dobbins
K M
KM
Hall
M J
MJ
D000328:Adult; D001284:Atrophy; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000523:psychology; D001921:Brain / Q000002:abnormalities; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000523:psychology; D002540:Cerebral Cortex / Q000002:abnormalities / Q000473:pathology; D002828:Choristoma / Q000175:diagnosis* / Q000523:psychology; D004292:Dominance, Cerebral / Q000502:physiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008889:Military Personnel / Q000523:psychology*; D019965:Neurocognitive Disorders / Q000175:diagnosis* / Q000523:psychology; D009483:Neuropsychological Tests