An unusual case of episodic stupor.
We present a case of episodic stupor associated with a myriad of neuropyschiatric manifestations that baffled doctors until they were recognized as sleep attacks. Continuous monitoring and recognition of a cyclical pattern of symptoms and signs helped to uncover the underlying cause of a rapidly cycling bipolar disorder. The symptoms abated quickly and persistently when treated by olanzapine and lithium.
De Silva
Deidre Anne
DA
Department of Neurology, National Neuroscience Institute, Singapore General Hospital Campus, Outram Road, Singapore, Singapore 169608. gnrdsd@sgh.com.sg
Ling
Lim Li
LL
Yeong
Ng Beng
NB
Puvanendran
K
K
D001714:Bipolar Disorder / Q000150:complications / Q000175:diagnosis; D003128:Coma / Q000150:complications* / Q000175:diagnosis; D003863:Depression / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010507:Periodicity; D017286:Polysomnography; D012892:Sleep Deprivation / Q000150:complications / Q000175:diagnosis