A case report on very late onset maniaJournal: Open Journal of Psychiatry & Allied Sciences (Vol.8, No. 2)
Publication Date: 2017-06-29
Authors : Manjunadh Muraleedharan; Sunil Suthar; Bhupendra Singh;
Page : 169-170
Keywords : Elderly. Olanzapine. Zolpidem.;
Diagnosing primary psychiatric disorder in elderly is a challenge considering the high prevalence of neurological and other medical diseases presenting with psychiatric manifestation. The first episode of mania occurring after the age of 80 years is extremely rare. We report a case of an 88-year-old married Hindu male educated up to fifth standard from rural background and lower socioeconomic status presenting with first episode mania, diagnosed using the tenth revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) criteria. Secondary causes were ruled out and successfully treated with low dose olanzapine.
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