Delirious Mania in an Elderly, Challenges in Diagnosis and Treatment.
Level 4 - case-series / case-control
Individual case report
PubMed 38028755 · doi:10.1155/2023/8984062
What was done
This case report documents the presentation, diagnosis, and management of an octogenarian female with bipolar disorder presenting with delirious mania characterized by impaired orientation, persecutory delusions, and an altered sleep-wake cycle.
What was found
The patient was treated with a combination of a mood stabilizer and an antipsychotic and was discharged after 24 days of admission. The abstract provides no specific numerical outcome measures, drug names, or dosages.
Why it matters
Delirious mania is an under-recognized, severe neurobehavioral syndrome lacking standardized diagnostic and treatment guidelines; this report highlights its presentation and inpatient course in an elderly patient.
Limits
Findings are limited to a single uncontrolled case report (n = 1), preventing generalization or causal claims about the chosen treatment. Specific medication names, doses, and post-discharge outcomes are not reported in the abstract.
Cited by
- supports Severe prolonged sleep deprivation in cases of acute mania or bipolar disorder can be fatal.