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P01-229-Emotional incontinence or bipolar disorder?about a case report

Published online by Cambridge University Press:  16 April 2020

L. Mnif ,
J. Masmoudi ,
N. Charfi ,
I. Baâti ,
S. Kolsi  and
A. Jaoua
L. Mnif
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
J. Masmoudi
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
N. Charfi
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
I. Baâti
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
S. Kolsi
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
A. Jaoua
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia

Abstract

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Introduction

Post-stroke emotional incontinence and bipolar disorder are two disorders that involve the dysfunction of brain structures responsible of emotional regulation.

The objective of this work is to study the links between these disorders through a clinical case.

Case report

It was a 43 year old patient who consulted for an emotional incontinence appeared after an ischemic stroke with lenticulocapsular and right semioval center lesions.

Treatment with antidepressant was marked by the appearance of hypomania.

Discussion and conclusion

The appearance of a pharmacologically induced hypomania in this patient could suggest a link between emotional incontinence and bipolar disorder.

Especially that periventricular areas and deep subcortical structures, involved in emotional regulation, are affected in these disorders.

More attentiveness against antidepressant treatment is required, because of the potential risk of a pharmacological hypomania.

Type
Research Article
Information
European Psychiatry , Volume 26 , Issue S2: Abstracts of the 19th European Congress of Psychiatry , March 2011 , pp. 230
Copyright
Copyright © European Psychiatric Association 2011
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