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Brain Tumor-induced Mania in Schizophrenia

Po-Han Chou, M.D.1 Lieh-Yung Ping, M.D., M.P.H.2,3 Hong-Shiow Yeh, M.D., M.P.H.2,4 Chin-Hong Chan, M.D., M.S.1

Objective:We report on a chronic schizophrenic patient with mania induced by a temporal lobe tumor and we also review the related literature. Case report:A schizophrenic patient with negative symptoms was found to have a tumor in the right temporal lobe following a seizure. Albeit being diagnosed, the patient started to have pressure of speech, expansive mood, racing thoughts and violence, and he was transferred to the acute psychiatry ward. After having received valproate and lithium, his condition became stabilized. Conclusion:Temporal lobe tumor may induce secondary mania. Treatment with mood stabilizers can help control symptoms.
Key Word temporal lobe tumor, negative symptoms, mania, mood stabilizer
Editorial Committe, Taiwanese Journal of Psychiatry
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