title: Late-life onset bipolar disorder presenting as a case of pseudo-dementia: a case discussion and review of literature.
abstract: Depression and comorbid cognitive impairment in the elderly can be difficult to distinguish from dementia. Adding to the complex differential is that depression may be part of a bipolar illness rather than a unipolar mood disorder. A diligent workup and close monitoring of patients can inform appropriate treatment and can make the difference between recovery and persistence of symptoms. The present case will illustrate how a comprehensive workup utilizing extensive data gathering, laboratory workup, use of neuropsychological testing, neuroimaging, and timely treatment can lead to successful clinical outcomes that can be sustained for many years.
authors.affiliation: Department of Psychiatry, University of Connecticut Health Center, Farmington, Connecticut 06030, USA. banga@uchc.edu
authors.forename: Alok
authors.initials: A
authors.lastname: Banga
authors.forename: Tsewang
authors.initials: T
authors.lastname: Gyurmey
authors.forename: David
authors.initials: D
authors.lastname: Matuskey
authors.forename: Daniel F
authors.initials: DF
authors.lastname: Connor
authors.forename: Richard F
authors.initials: RF
authors.lastname: Kaplan
authors.forename: David C
authors.initials: DC
authors.lastname: Steffens
mesh_terms: D017668:Age of Onset; D000368:Aged; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D003704:Dementia / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D059906:Neuroimaging; D009483:Neuropsychological Tests
keywords: late life onset bipolar disorder; pseudo-dementia