title: Secondary mania from cerebral embolization with nonfocal neurologic findings.
abstract: We have reported a unique example of an organic affective syndrome in a patient who had focal brain lesions, but whose initial neurologic examination was nonfocal. In retrospect, the only clue to an organic disorder was hyperreflexia in this patient with a history of alcohol abuse and clinical signs of a distal sensory neuropathy. This case emphasizes the importance of pursuing a neurologic work-up (including CT scan) in older patients with sudden mood changes, even in the absence of focal neurologic findings.
authors.affiliation: Department of Psychiatry and Neurology, Tulane University School of Medicine, New Orleans, La.
authors.forename: T J
authors.initials: TJ
authors.lastname: Goldschmidt
authors.forename: E A
authors.initials: EA
authors.lastname: Burch
authors.forename: G
authors.initials: G
authors.lastname: Gutnisky
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D004569:Electroencephalography; D006220:Haloperidol / Q000627:therapeutic use; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000150:complications* / Q000503:physiopathology; D008297:Male; D009422:Nervous System Diseases / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D009460:Neurologic Examination; D011569:Psychiatric Status Rating Scales; D012008:Recurrence
chemical_list: D006220:Haloperidol