Mania after brain injury: neuroradiological and metabolic findings.

Starkstein, S E; Mayberg, H S; Berthier, M L; Fedoroff, P; Price, T R; Dannals, R F; Wagner, H N; Leiguarda, R et al. · Ann Neurol · 1990

case_series · Level IV

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Abstract

We present a consecutive series of 8 patients who developed a manic episode after a brain injury. Five patients had cortical lesions (4 with damage to the right basotemporal region, and 1 with bilateral damage to the orbitofrontal area). While the other 3 patients had subcortical lesions (white matter of the right frontal lobe, right anterior limb of the internal capsule, and right head of the caudate), a fluorodeoxyglucose positron emission tomography scan showed hypometabolism in the right lateral basotemporal region in all 3 patients. These findings suggest a major role for the basal region of the right temporal lobe in the modulation of mood.

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