A Case of Organic Mania Associated with Open Heart Surgery

Organic mania has been reported to have multiple etiologies. A case is described of a patient who developed mania following a coronary artery bypass graft and mitral valve replacement. Cerebral abnormalities were not detected by computed tomographic or magnetic resonance imaging scans, but an area o...

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Bibliographic Details
Published in:Journal of geriatric psychiatry and neurology 1994-01, Vol.7 (1), p.8-12
Main Authors: Kotrla, Kathryn J., Chacko, Ranjit C., Barrett, Shawn A.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Bipolar Disorder - diagnosis
Bipolar Disorder - physiopathology
Bipolar Disorder - psychology
Cerebral Infarction - diagnosis
Cerebral Infarction - physiopathology
Cerebral Infarction - psychology
Coronary Artery Bypass
Coronary Disease - surgery
Follow-Up Studies
Geriatrics
Heart Valve Prosthesis - psychology
Humans
Male
Medical sciences
Mental Status Schedule
Middle Aged
Mitral Valve - surgery
Neurocognitive Disorders - diagnosis
Neurocognitive Disorders - physiopathology
Neurocognitive Disorders - psychology
Neuropsychological Tests
Parietal Lobe - blood supply
Postoperative Complications - physiopathology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Tomography, Emission-Computed, Single-Photon
Tomography, X-Ray Computed
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Description
Summary:Organic mania has been reported to have multiple etiologies. A case is described of a patient who developed mania following a coronary artery bypass graft and mitral valve replacement. Cerebral abnormalities were not detected by computed tomographic or magnetic resonance imaging scans, but an area of dysfunction was found using single photon emission computed tomographic (SPECT) imaging. The lesion resolved when the patient became clinically asymptomatic. The area of decreased cerebral perfusion associated with the patient's mania was in an atypical location, raising questions about which brain regions can result in well-defined psychiatric syndromes.
ISSN:0891-9887
1552-5708
DOI:10.1177/089198879400700102