title: A patient with mania and photoconvulsive epilepsy.
abstract: OBJECTIVE
  To describe a young patient who had a comorbidity of mania and photoconvulsive epilepsy.
  
  
  METHODS
  This patient presented with a clinical picture of mania which proved difficult to treat until an EEG revealed the presence of photoconvulsive epilepsy.
  
  
  METHODS
  Treatment with haloperidol and lithium was unsuccessful but the addition of carbamazepine produced a dramatic response. Haloperidol was stopped and the patient maintained on lithium and carbamazepine.
  
  
  RESULTS
  A successful outcome was achieved with carbamazepine and the patient has remained well on this treatment for 2 years.
  
  
  CONCLUSIONS
  The authors postulate that there may be an association between photoconvulsive epilepsy and mania, perhaps on a kindling basis. The literature pertaining to the psychiatric aspects of photoconvulsive epilepsy is reviewed.
authors.affiliation: Repatriation General Hospital, Concord, New South Wales, Australia.
authors.forename: M G
authors.initials: MG
authors.lastname: Roxanas
authors.forename: A J
authors.initials: AJ
authors.lastname: Corbett
authors.forename: W G
authors.initials: WG
authors.lastname: Reid
mesh_terms: D000293:Adolescent; D000927:Anticonvulsants / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000150:complications*; D001921:Brain / Q000503:physiopathology; D002220:Carbamazepine / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004569:Electroencephalography; D005260:Female; D006220:Haloperidol / Q000627:therapeutic use; D006801:Humans; D008027:Light / Q000009:adverse effects*; D008094:Lithium / Q000627:therapeutic use; D012640:Seizures / Q000150:complications* / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000927:Anticonvulsants; D002220:Carbamazepine; D008094:Lithium; D006220:Haloperidol