Ann Neurol. 1990 Jun;27(6):652-9.

Mania after brain injury: neuroradiological and metabolic findings.

Starkstein SE, Mayberg HS, Berthier ML, Fedoroff P, Price TR, Dannals RF, Wagner HN, Leiguarda R, Robinson RG.

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Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD.

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.

PMID:: 2360802; [PubMed - indexed for MEDLINE]

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Mania after brain injury: neuroradiological and metabolic findings.

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