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Case Reports
. 2010 Jul 15:2010:bcr0220102713.
doi: 10.1136/bcr.02.2010.2713.

What works for delirious catatonic mania?

Kamini Vasudev  1 , Heinz Grunze
Affiliations
Case Reports

What works for delirious catatonic mania?

Kamini Vasudev et al. BMJ Case Rep. .

Abstract

Delirious mania is an under recognised clinical syndrome and little evidence is available to clarify its clinical characteristics and treatment. We analyse a case of delirious mania that was a challenge to treat. It shows the importance of recognising catatonia as a symptom of delirious mania. Electroconvulsive therapy (ECT) and mood stabilisers (lithium and valproate combination) proved to be effective treatments in our case, but a variety of factors contributed to a delay in treatment response.

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Conflict of interest statement

Competing interests Heinz Grunze has received grants/research support, consulting fees and honoraria within the last 3 years from Astra Zeneca, Bial, BMS, Cephalon, Eli Lilly, Glaxo-Smith Kline, Janssen-Cilag, Organon, Pfizer Inc, Sanofi-Aventis, Servier, Shering-Plough,UBC and UCB Belgium. Kamini Vasudev has no competing interests.

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