The crossroad of delirium, mania, and catatonia: A case series on delirious mania
Riya Gangwal, Vaibhav Sunil Nawale, Varchasvi Mudgal, Rahul Mathur · 2025
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Description
Riya Gangwal and co-authors present four cases of delirious mania, a dangerous blend of mania, catatonia, and clouded awareness, in a 2025 case series. The syndrome is well described in Western writing but rarely reported from India. All four patients, held in a central Indian government mental hospital, had prior bipolar disorder. Each arrived agitated and grandiose, disoriented, with catatonic signs; two had suffered the same storm before.
Two also carried high blood pressure and metabolic troubles. All improved on a mix of lorazepam, valproate, and modern antipsychotics, settling within one to two weeks; one needed electroconvulsive therapy to fully clear. The authors urge doctors to think of the syndrome early in such mixed presentations.
Catalog record
| CREATOR | Riya Gangwal, Vaibhav Sunil Nawale, Varchasvi Mudgal, Rahul Mathur |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 15 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |