Department of Psychiatry, Technological University of Pereira, Pereira, Risaralda, Colombia
Case Report
Late-Onset Mania in a Patient with Brain Tumor: Case Report
Author(s): Julio Cesar Gutierrez-Segura*, Daniela Velasquez Lopez, Juan Pablo Abad Salazar, Yuli Meneses Meza, Tania Camila Munoz Obregon, Isabella Acevedo Zuluaga and Angela Maria Landazury
Secondary mania is characterized by the sudden onset of symptoms without a prior history of affective disorders, manifesting as elevated mood, irritability, and insomnia. Brain tumors are the eighth most common type of cancer in adults over 40 years of age, with gliomas being the most prevalent malignant histology, presenting with symptoms such as headache, seizures, and cognitive impairment. We present the case of a patient in her seventies who experienced progressive symptoms, including irritability, sleep disturbances, increased motor activity, and delusional as well as jealous delusions. Initially diagnosed with bipolar disorder and treated without improvement, her condition deteriorated with persistent headaches and worsening of symptoms. Upon initial evaluation at Hospital Universitario San Jorge, she exhibited aphasia and affective exaltation, and neuroimaging revealed a space-.. View More»