Manic Psychosis in a Case of Parasagittal Meningioma

Oppler, Willy

doi:10.1001/archneurpsyc.1950.02310270106006

Cited by 29 publications

(7 citation statements)

References 9 publications

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“…Features. We identified 16 case reports on mania in people with brain tumors (48)(49)(50)(51)(52)(53)(54)(55). Multiple tumor types were implicated, roughly paralleling their prevalence in the general population, suggesting that tumor histology does not play a role in mania.…”

Section: Brain Tumorsmentioning

confidence: 99%

Mania secondary to focal brain lesions: implications for understanding the functional neuroanatomy of bipolar disorder

2016

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Secondary mania should be suspected in patients with neurological deficits, histories atypical for classic bipolar disorder, and first manic episodes after the age of 40 years. Treatment with antimanic medications, along with specific treatment for the underlying neurologic condition, is typically required. Typical lesion locations fit with current models of bipolar disorder, which implicate hyperactivity of left-hemisphere reward-processing brain areas and hypoactivity of bilateral prefrontal emotion-modulating regions. Lesion studies complement these models by suggesting that right-hemisphere limbic-brain hypoactivity, or a left/right imbalance, may be relevant to the pathophysiology of mania.

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Section: Brain Tumorsmentioning

confidence: 99%

Mania secondary to focal brain lesions: implications for understanding the functional neuroanatomy of bipolar disorder

2016

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“…Similarly, Oppler (1950) documented an individual with a good premorbid history who began to deteriorate over many years' time. Eventually, the patient developed fight of ideas, emotional elation, increased activity, hypomanic behavior, lability, extreme fearfulness, distractability, jocularity, and argumentativeness.…”

Section: Mania and Emotional Incontinencementioning

confidence: 99%

“…For example, M. Cohen and Niska (1980) report an individual with a subarachnoid hemorrhage and right temporal hematoma who developed an irritable mood; shortened sleep time; loud, grandiose, tangential speech; flight of ideas; and lability and who engaged in the buying of expensive commodities. Similarly, Oppler (1950) documented an individual with a good premorbid history who began to deteriorate over many years' time. Eventually, the patient developed fight of ideas, emotional elation, increased activity, hypomanic behavior, lability, extreme fearfulness, distractability, jocularity, and argumentativeness.…”

Section: Mania and Emotional Incontinencementioning

confidence: 99%

The right cerebral hemisphere: Emotion, music, visual-spatial skills, body-image, dreams, and awareness

Joseph¹

1988

J. Clin. Psychol.

138

110

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Based on a review of numerous studies conducted on normal, neurosurgical and brain‐injured individuals, the right cerebral hemisphere appears to be dominant in the perception and identification of environmental and nonverbal sounds; the analysis of geometric and visual space (e. g., depth perception, visual closure); somesthesis, stereognosis, the maintenance of the body image; the production of dreams during REM sleep; the perception of most aspects of musical stimuli; and the comprehension and expression of prosodic, melodic, visual, facial, and verbal emotion. When the right hemisphere is damaged a variety of cognitive abnormalities may result, including hemiinattention and neglect, prosopagnosia, constructional apraxia, visualperceptual disturbances, and agnosia for environmental, musical, and emotional sounds. Similarly, a myriad of affective abnormalities may occur, including indifference, depression, hysteria, gross social‐emotional disinhibition, florid manic excitement, childishness, euphoria, impulsivity, and abnormal sexual behavior. Patients may become delusional, engage in the production of bizzare confabulations and experience a host of somatic disturbances such as pain and body‐perceptual distortions. Based on studies of normal and “split‐brain” functioning, it also appears that the right hemisphere maintains a highly developed social‐emotional mental system and can independentyly perceive, recall and act on certain memories and experiences without the aid or active reflective participation of the left. This leads to situations in which the right and left halves of the brain sometime act in an uncoopertive fashion, which gives rise to inter‐manual and intrapsychic conflicts.

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“…Whereas patients with brain neoplasms characteristically have focal neurologic disturbances, it was well recognized before neuroimaging became available that some intracranial spaceoccupying lesions manifest with neurobehavioral or psychiatric features (15,16). On the other hand, in the last quarter of the twentieth century, Andersson and Cole have reported that only 3% of institutionalized psychiatric patients had intracranial lesions (17,18).…”

Section: Discussionmentioning

confidence: 99%

Primer Bir Psikiyatrik Bozukluğu Taklit Eden Spontan Rüptüre İntrakraniyal Dermoid Kist

Erol

Öztürk

Çakın

et al. 2014

npa

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We discussed the case of a 14-year-old patient with acute onset of psychiatric symptoms for two months who had been examined and different antipsychotic drugs had been prescribed by several psychiatrists without any neuroradiological imaging. Because of unresponsiveness to the antipsychotic drugs, computed tomography and magnetic resonance imaging were performed which revealed a ruptured intracranial dermoid cyst. The patient underwent surgery and antipsychotic medications were withdrawn in short time. The emphasis of this case is that intracranial lesions can present with neuropsychiatric symptoms and findings only without any neurological deficit or signs.

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Manic Psychosis in a Case of Parasagittal Meningioma

Cited by 29 publications

References 9 publications

Mania secondary to focal brain lesions: implications for understanding the functional neuroanatomy of bipolar disorder

Mania secondary to focal brain lesions: implications for understanding the functional neuroanatomy of bipolar disorder

The right cerebral hemisphere: Emotion, music, visual-spatial skills, body-image, dreams, and awareness

Primer Bir Psikiyatrik Bozukluğu Taklit Eden Spontan Rüptüre İntrakraniyal Dermoid Kist

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