title: Post-stroke emotional incontinence or bipolar disorder?
abstract: BACKGROUND
  Post-stroke emotional incontinence and bipolar disorder are two disorders that involve the dysfunction of brain structures responsible for emotional regulation. The objective of this work is to study the links between these disorders through a clinical case.
  
  
  METHODS
  We present the case of a 43-year-old man without previous psychiatric history who experienced emotional incontinence after cerebrovascular events. He reacted promptly to selective serotonin reuptake inhibitor treatment. However, he experienced his first episode of hypomania after 6 months of antidepressant therapy. Adjunctive therapy with valproic acid and low-dose paroxetine was eventually added, resulting in complete improvement of both emotional incontinence and hypomania after 4 additional months of treatment.
  
  
  CONCLUSIONS
  The clinician should carefully explore any history of premorbid bipolar disorder, personality disorder characterized by mood instability, and family history of bipolar disorder.
authors.affiliation: Department of Psychiatry "D", Razi University hospital, Tunis.
authors.forename: Leila
authors.initials: L
authors.lastname: Mnif
authors.affiliation: Department of Psychiatry "A", Hédi Chaker University Hospital, Sfax, Tunisia.
authors.forename: Rim
authors.initials: R
authors.lastname: Sellami
authors.affiliation: Department of Psychiatry "A", Hédi Chaker University Hospital, Sfax, Tunisia.
authors.forename: Jawaher
authors.initials: J
authors.lastname: Masmoudi
keywords: bipolar disorder; emotional incontinence; stroke