Kürşat ALTINBAŞ, Erhan KURT, Aylin CAN, Niyazi UYGUR

Deliryöz Mani: Klinik Özellikleri ve Tedavisi

Deliryöz mani; mani ve deliryum belirtilerinin birliktegörüldüğü, çoğunlukla katatonik özelliklerin de eşlik ettiğibir sendromdur. Birkaç saat veya gün içerisinde başlar,otonomik belirtiler eşlik edebilir ve tedavi edilmediğitakdirde klinik tablonun ağırlaşması hatta ölümle sonuçlanabilir. Literatürde, maninin bir alt grubu, manik hastalığın ağır formu ve bir katatoni formu olduğu yönündeçeşitli tanımlamaları vardır. Çalışmalarda en etkili tedaviyönteminin EKT olduğu öne sürülse de benzodiyazepinler,duygudurum dengeleyicileri veya birinci ve ikinci kuşakantipsikotikler ile iyileşen olgu bildirimleri mevcuttur. Buyazımızda deliryöz mani tanısı koyduğumuz bir hastanınklinik seyrini anlatarak, bu sendrom hakkında ayrıntılı bilgivermeyi amaçlıyoruz.

Delirious mania: Clinical course and treatment

Delirious mania (DM) is a syndrome consists of both maniaand delirium, generally with accompanying catatonic features. Symptoms occur in hours or days with or withoutautonomic symptoms and if it is not treated properly, theclinical course get worse even it may result with death.It is defined variously in the literature as a subgroup ofmania, a severe form of mania or a catatonioform disease.There are many case reports on the treatment of DMwith benzodiazepines, mood stabilizers or first and sec- ond generation antipsychotics although electroconvulsivetherapy was reported as the most effective treatment. Inthis paper, we aimed to review and give detailed clinicalinformation about DM by presenting clinical course of apatient with delirious mania.

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