A Case of Rapid Cycling Affective Disorder in Patient with Severe Premenstrual Syndrome / 신경정신의학

ABSTRACT

Authors report a case of rapid cycling affective disorder(RCAD) who has suffered severe premenstrual syndrome since her monarch. Even if what relationship and etiology these disorders may have are undetermined, premenstrual syndrome and RCAD indeed share many characteristics and estrogen may have central role in these disorders. Patient showed a significant decrease of cerebral blood flow of right temporal area on SPECT It is impressive that carbamazepine was more effective than lithium in treatment of this RCAD case.