Indian Journal of Psychological Medicine
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CASE REPORT
Year : 2014  |  Volume : 36  |  Issue : 3  |  Page : 338-340

Cerebellar stroke-manifesting as mania


Department of Psychiatry, Thanjavur Medical College, Thanjavur, Tamil Nadu, India

Correspondence Address:
Dr. Kannapiran R Thiruvengadam
Department of Psychiatry, Government Thiruvarur Medical College, Thiruvarur, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0253-7176.135396

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Secondary mania resulting from cerebral Cortex are described commonly. But secondary mania produced by cerebellar lesions are relatively uncommon. This case report describes a patient who developed cerebellar stoke and manic features simultaneously. 28 years old male developed giddiness and projectile vomiting. Then he would lie down for about an hour only to find that he could not walk. He became quarrelsome. His Psycho motor activities and speech were increased. He was euphoric and was expressing grandiose ideas. Bender Gestalt Test showed signs of organicity. Score in Young mania relating scale was 32; productivity was low in Rorschach. Neurological examination revealed left cerebellar signs like ataxia and slurring of speech. Computed tomography of brain showed left cerebellar infarct. Relationship between Psychiatric manifestations and cerebellar lesion are discussed.


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