Mania associated with complicated hereditary spastic paraparesis

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Nayak, Raghavendra B ; Bhogale, Govind S ; Patil, Nanasaheb M ; Pandurangi, Aditya A (2011)
  • Publisher: Medknow Publications
  • Journal: Journal of Neurosciences in Rural Practice, volume 2, issue 2, pages 190-192 (issn: 0976-3147, eissn: 0976-3155)
  • Related identifiers: doi: 10.4103/0976-3147.83592, pmc: PMC3159362
  • Subject: Neurosciences. Biological psychiatry. Neuropsychiatry | RC321-571 | Case Report | hereditary spastic paraparesis | Complicated hereditary spastic paraparesis | mania

Hereditary spastic paraparesis (HSP) is an inherited group of neurological disorders with progressive lower limb spasticity. HSP can be clinically grouped into pure and complicated forms. Pure HSP is one without any associated neurological/psychiatric comorbidity. Depression is the most common psychiatric comorbidity. Presence of mania or bipolar affective illness with HSP is a rare phenomenon. We report a case of a 17-year-old boy who presented with classical features of HSP with complaints of excessive happiness, irritability, increased self-esteem and decreased sleep since 1 month. The patient also had complex partial seizure ever since he had features of HSP. The patient′s father and younger sister suffer from pure HSP. The patient was diagnosed to have first episode mania with complicated HSP. The details of treatment and possible neurobiology are discussed in this case report.
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