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Disturbance of Water and Sodium in a Manic-Depressive Illness

Published online by Cambridge University Press:  29 January 2018

J. L. Crammer
J. L. Crammer*
Affiliation:
Institute of Psychiatry, Denmark Hill, London SE5 8AZ
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Abstract

Specific questioning and frequent observation of a 69 year-old woman with cyclic bipolar manic-depressive illness showed that she had disturbances of thirst, appetite, bowel and bladder function and dramatic changes in body weight, in association with different phases of her mental illness. Examination of one manic phase under constant diet and inpatient control showed cardiovascular changes, sodium retention, body weight gain, with raised aldosterone secretion but steady vasopressin. There appears to be a sub-group of manic-depressive patients with evidence of disturbed hypothalamic functions as part of their mental illness, as shown particularly by changes in water and electrolyte metabolism.

Type
Papers
Information
The British Journal of Psychiatry , Volume 149 , Issue 3 , September 1986 , pp. 337 - 345
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

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References

Allsopp, M. N. E., Levell, M. J., Stitch, S. R. & Hullin, R. P. (1972) Aldosterone production rates in manic-depressive psychosis. British Journal of Psychiatry, 120, 359–404.Google Scholar
Barnes, G. & Francis, M. (1909) A clinical study with Mood examination of two atypical cases related to the dementia praecox group. American Journal of Insanity, 65, 559–591.Google Scholar
Carman, J. S., & Wyatt, R. J. (1979) Calcium: bivalent cation in bivalent psychoses. Biological Psychiatry, 14, 295–336.Google Scholar
Carroll, B. J. (1982): The dexamethasone suppression test for melancholia. British Journal of Psychiatry, 140, 292–304.CrossRefGoogle ScholarPubMed
Checkley, S. A., Slade, A. P. & Shur, E. (1981) Growth hormone and other responses to Clonidine in patients with endogenous depression. British Journal of Psychiatry, 138, 51–55.Google Scholar
Crammer, J. L. (1957) Rapid weight changes in mental patients. Lancet, ii, 259.CrossRefGoogle Scholar
Crammer, J. L. (1959a) Periodic psychoses. British Medical Journal, 1, 545–549.Google Scholar
Crammer, J. L. (1959b) Water and sodium in two psychotics. Lancet, i, 1122–1126.Google Scholar
Crammer, J. L. (1983) Nutritional abnormalities. In Handbook of Psychiatry Vol 2: Mental Disorder and Somatic Illness (ed. Lader, M.). Cambridge University Press.Google Scholar
Flack, F. F. (1964) Calcium metabolism in states of depression. British Journal of Psychiatry, 110, 588–593.Google Scholar
Ganong, W. F. & Barbieri, C. (1982) Neuroendocrine components in the regulation of renin secretion. In Frontiers in Neuroendo-crinology, 7, (eds Ganong, W. F. & Martini, L.), New York: Raven Press.Google Scholar
Gjessing, R. (1976) Contribution to the somatology of periodic catatonia (eds Gjessing, L. R. & Jenner, F. A.), Pergamon, Oxford.Google Scholar
Gold, P. W., Ballenger, J. C., Robertson, G. L., Weingartner, H., Rubinow, D. R., Hoban, M. C., Goodwin, F. K. & Post, R. M. (1984) Vasopressin in affective illness. In Neurobiology of Mood Disorders (eds Post, R. M. & Ballenger, J. C.). Baltimore: Williams & Wilkins.Google Scholar
Hullin, R. P., Bailey, A., McDonald, R., Dransfield, G. A. & Milne, H. B. (1967) Body water variations in manic-depressive psychosis. British Journal of Psychiatry, 113, 584–592.Google Scholar
Hullin, R. P., Jerram, T. C., Lee, M. R., Levell, M. J. & Tyrer, S. P. (1977) Renin and aldosterone relationships in manic-depressive psychosis. British Journal of Psychiatry, 131, 575–581.Google Scholar
Jenner, F. A. (1968) Periodic psychoses in the light of biological rhythm research. International Review of Neurobiology, 11, 129–169.Google Scholar
Jenner, F. A., Gjessing, L. R., Cox, J. R., Davies-Jones, A., Hullin, R. P. & Hanna, S. M. (1967): A manic-depressive with a persistent 48-hour cycle. British Journal of Psychiatry, 113, 895–910.Google Scholar
Jowett, T. P., Slater, J. D. H., Piyasena, R. D. (1973). Radioimmunoassay of aldosterone in plasma and urine. Clinical Science and Molecular Medicine. 45, 607–623.Google ScholarPubMed
Kety, S. S. (1959) Biochemical theories of schizophrenia. Science, 129, 1528; 1590.Google Scholar
Klein, R. & Nunn, R. F. (1945) Clinical and biochemical analysis of a case of manic-depressive psychosis showing regular weekly cycles. Journal of Mental Science, 91, 79–88.Google Scholar
McCance, R. A. & Widdowson, E. M. (1960) The Composition of Foods. M.R.C. Special Reports Series No. 297. London: H.M.S.O. Google Scholar
Nikitopoulou, G. & Crammer, J. L. (1976) Change in diurnal temperature rhythm in manic-depressive illness. British Medical Journal, 1, 1311–1314.Google Scholar
Pighini, G. (1907) Il ricambio organico nella demenza precoce. Rivista Sperimentale de Freniatria e medicina Legale della Alienzioni Mentali, 33, 762–729.Google Scholar
Richter, C. P., Honeyman, W. M. & Huner, H. (1940) Behaviour and mood cycles apparently related to parathyroid deficiency. Journal of Neurology, Neurosurgery and Psychiatry, 3, 19–26.Google Scholar
Seldin, D. W. & Gebisch, G. (1985) The Kidney: Physiology and Patho-Physiology. Vol. 2, New York: Raven Press.Google Scholar
Speijer, N. (1950) Treatment of a periodical psychosis based upon haematological and biochemical deviations from the normal. Folia Psychiatrica Neerlandica, 53, 718–726.Google ScholarPubMed
von Stockert, F. G. (1958): Pathophysiologie einer im 48-stunden Rhythum verlaufenden periodischen katatonie. Confinia Neurologica, (Basel), 18, 183–8.Google Scholar
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