Title: Multiple sclerosis, bipolar affective disorder and euphoria
Abstract: Occasionally, it has been my experience to encounter an MS patient with mania, who apart from the abnormal mental state examination is neurologically quite well. Furthermore, I have treated patients with manic episodes heralding the onset of MS and have also come across bipolar patients who subsequently went on to develop MS often years later. Managing the floridly manic MS patient can present a considerable challenge given the potential that neuroleptic and mood-stabilizing medications have in further compromising neurological function. Early detection of the patient going “high” makes management easier, but as a first step to early detection, increased awareness amongst clinicians of the increased rate of co-morbidity is needed. Criteria for diagnosing mania are clearly set out and, as with clinically significant depression, diagnosis and treatment, particularly of patients with mildly elevated mood, does not have to await the arrival of the neuropsychiatrist.
Publication Year: 2007
Publication Date: 2007-05-17
Language: en
Type: book-chapter
Indexed In: ['crossref']
Access and Citation
AI Researcher Chatbot
Get quick answers to your questions about the article from our AI researcher chatbot