New onset rapid cycling bipolar disorder in an 87 year old woman

Can J Psychiatry. 1993 Jun;38(5):324-6. doi: 10.1177/070674379303800507.

Abstract

New onset rapid cycling bipolar disorder is rare in late life. The authors report the case of an 87 year old woman who first developed this disorder at age 82 and was successfully treated with valproate and L-thyroxine. The contribution of aging, hypothyroidism and stroke to the etiology of this woman's disorder is discussed. The pharmacological management of rapid cycling bipolar disorder in the elderly is also reviewed.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bipolar Disorder / diagnosis*
  • Bipolar Disorder / drug therapy
  • Bipolar Disorder / psychology
  • Cerebral Infarction / complications*
  • Cerebral Infarction / drug therapy
  • Cerebral Infarction / psychology
  • Female
  • Humans
  • Hypothyroidism / complications*
  • Hypothyroidism / drug therapy
  • Hypothyroidism / psychology
  • Lithium Carbonate / administration & dosage
  • Lithium Carbonate / adverse effects
  • Neurocognitive Disorders / diagnosis*
  • Neurocognitive Disorders / drug therapy
  • Neurocognitive Disorders / psychology
  • Thyroxine / administration & dosage
  • Thyroxine / adverse effects
  • Valproic Acid / administration & dosage
  • Valproic Acid / adverse effects

Substances

  • Lithium Carbonate
  • Valproic Acid
  • Thyroxine