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P-248 - A Bipolar Affective Disorder Prior to the Unset of a Multiple Sclerosis: a Case Report

Published online by Cambridge University Press:  15 April 2020

S. Tran
Affiliation:
Centre Hospitalier du Rouvray, Sotteville-lès-Rouen, France
C. Rousseau
Affiliation:
Centre Hospitalier du Rouvray, Sotteville-lès-Rouen, France
F. Brétel
Affiliation:
Centre Hospitalier du Rouvray, Sotteville-lès-Rouen, France
O. Guillin
Affiliation:
Centre Hospitalier du Rouvray, Sotteville-lès-Rouen, France
S. Haouzir
Affiliation:
Centre Hospitalier du Rouvray, Sotteville-lès-Rouen, France
V. Bourgeois
Affiliation:
Centre Hospitalier du Rouvray, Sotteville-lès-Rouen, France

Abstract

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Introduction:

Multiple sclerosis is a chronic neurological disease characterized by a demyelinating process in the central nervous system.

Psychiatric symptoms, and especially mood disorders, occur more frequently in multiple sclerosis than in other chronic diseases.

Objectives:

To report the occurence, type, MRI abnormalities and management of a bipolar affective disorder prior to the onset of multiple sclerosis.

Methods:

We report a case of a forty-one-years old man, who developed a manic episode induced by antidepressant treatment, four months before the diagnosis of multiple sclerosis.

Results:

This case report suggests that bipolar affective disorders may be the initial manifestations of multiple sclerosis.

Conclusion:

The awareness of psychiatric manifestations in unset and acute relapse episodes of multiple sclerosis may be helpful for an early dagnosis and for treatment adjustment.

Type
Abstract
Copyright
Copyright © European Psychiatric Association 2012
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