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Rapid-Cycling Disorder in Association with Cerebral Sarcoidosis

Published online by Cambridge University Press:  02 January 2018

D. G. Walbridge*
Affiliation:
Littlemore Hospital, Oxford

Abstract

A 48-hour rapid-cycling disorder in a patient with pre-existing cerebral sarcoidosis, not described previously, was similar to that of others in the literature in that the mood switching occurred during sleep. Although the condition is rare, its existence raises important questions regarding the neurophysiology of affective disorders in general.

Type
Brief Reports
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

Bunney, W. E. & Hartmann, E. L. (1965) Study of a patient with 48-hour manic-depressive cycles. Part I. An analysis of behavioural factors. Archives of General Psychiatry, 12, 611618.Google Scholar
Carney, M. W. P., Chary, T. K. N., Bottiglieri, T., et al (1989) The switch mechanism and the bipolar/unipolar dichotomy. British Journal of Psychiatry, 154, 4851.Google Scholar
Doerr, P., Von Zerssen, D., Fischler, M., et al (1979) Relationship between mood changes and adrenal cortical activity in a patient with 48-hour unipolar depressive cycles. Journal of Affective Disorders, 1, 93104.Google Scholar
Frank, C. & Harrer, G. (1980) Zyklothymie mit persistierender 48-stundenperiodik. Wiener Medizinische Wochenshrift, 130, 4548.Google Scholar
Gelenberg, A. J., Klerman, G. L., Hartmann, E. L., et al (1979) Recurrent unipolar depressions with a 48-hour cycle: report of a case. British Journal of Psychiatry, 133, 123129.Google Scholar
Jenner, F. A., Gjessing, L. R., Cox, J. R., et al (1967) A manic depressive psychotic with a persistent forty-eight hour cycle. British Journal of Psychiatry, 113, 895910.Google Scholar
Kino, D. J., Salem, S. A. & Meimary, N. S. (1979) A 48-hour periodic manic-depressive illness presenting in late life (letter). British Journal of Psychiatry, 135, 190191.Google Scholar
Kupfer, D. J. & Heninger, G. R. (1972) REM activity as a correlate of mood changes throughout the night. Electroencephalographic sleep patterns in a patient with a 48-hour cyclic mood disorder. Archives of General Psychiatry, 27, 368373.Google Scholar
Lishman, W. A. (1987) Organic Psychiatry. Oxford: Blackwell Scientific.Google Scholar
Paschalis, C., Pavlou, A. & Papadiomitriou, A. (1980) A stepped forty-eight hour manic-depressive cycle. British Journal of Psychiatry, 137, 332336.Google Scholar
Wehr, T. A., Goodwin, F. K., Wirz-Justice, A., et al (1982) 48-hour sleep-wake cycles in manic-depressive illness: naturalistic observations and sleep deprivation experiments. Archives of General Psychiatry, 39, 559565.Google Scholar
Welsh, D. K., Nino-Murcia, G., Gander, P. H., et al (1986) Regular 48-hour cycling of sleep duration and mood in a 35-year-old woman: use of lithium in time isolation. Biological Psychiatry, 21, 527537.Google Scholar
Zisook, S. (1988) Cyclic 48-hour depression. Journal of Nervous and Mental Disease, 176, 5356.Google Scholar
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