Post-stroke mania late in life involving the left hemisphere.
OBJECTIVE
Although post-stroke depression is well recognised, post-stroke mania has rarely been reported and researched. Most reported cases have involved lesions of the non-dominant hemisphere. We report a case of late-onset mania following stroke with a lesion in the dominant hemisphere.


METHODS
A 78-year-old, right-handed man developed sudden cognitive deficits and manic symptoms. Investigations revealed lesions in the dominant hemisphere.


METHODS
Pharmacological intervention was complicated by side effects.


RESULTS
His symptoms resolved gradually over 2 months and he was back to normal in 4 months.


CONCLUSIONS
We would encourage further study in the area of post-stroke mania and especially in relation to the site of the lesion in the brain.
Fenn
D
D
Aged Persons' Mental Health Program, North-western Health, Sunshine Hospital, St Albans, Victoria, Australia.
George
K
K
D000368:Aged; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology; D002540:Cerebral Cortex / Q000503:physiopathology; D002544:Cerebral Infarction / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D004292:Dominance, Cerebral / Q000502:physiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019965:Neurocognitive Disorders / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology; D009483:Neuropsychological Tests; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed