ABSTRACT
Objective: Psychiatric disorders following cerebrovascular accidents are common. Post-stroke depression is the most common of these disorders, and post-stroke mania has been reported on rare occasions. Methods: We report a case of a 65 year-old elderly male who developed mania secondary to a left sided cerebral infarction in the territory of the middle cerebral artery. Discussion: It has been theorized that lesions in the cerebral hemisphere and limbic structures may produce symptoms suggestive of mania. Emotional and behavioral disorders after stroke negatively impact rehabilitation, cognition, and long-term recovery. Conclusion: Post-stroke mania is a rare medical condition that may occur after neurological deficits.
ABSTRACT
This study was conducted to determine the changes in the insular cortex in alcohol dependent subjects, and to compare the same with controls, the associated clinical findings. The study group consisted of 30 subjects with alcohol dependence syndrome [ADS] selected randomly from the out patient services of the department of psychiatry of a tertiary care hospital. The control group consisted of 30 matched subjects selected randomly from the out patient department and from patients screened for uncomplicated headache. Both groups were examined by a computerized scan [CT], and Mini Mental Status Examination [MMSE]. Chi square, and T test were done after calculating the Evan's ratio. The two groups were compared to assess the cortical atrophy and ventricular enlargement. Cognitive functions were tested by MMSE, and the scores were compared. Atrophy was significantly higher in the experimental group; however, it was not significant. Cognitive functioning was found to be significantly impaired in the experimental group. The study showed that alcohol dependence leads to cortical atrophy which is age independent. The statistically significant disturbance in the MMSE scores along with the frontal and parietal cortical atrophy is also indicative of the insular cortex involvement in the experimentai group. Alcohol dependence leads to cerebral atrophy along with the involvement of the insular cortex