Gnam W, Flint A J
University of Toronto, Ontario.
Can J Psychiatry. 1993 Jun;38(5):324-6. doi: 10.1177/070674379303800507.
New onset rapid cycling bipolar disorder is rare in late life. The authors report the case of an 87 year old woman who first developed this disorder at age 82 and was successfully treated with valproate and L-thyroxine. The contribution of aging, hypothyroidism and stroke to the etiology of this woman's disorder is discussed. The pharmacological management of rapid cycling bipolar disorder in the elderly is also reviewed.
老年期新发快速循环型双相情感障碍较为罕见。作者报告了一例87岁女性病例,该患者82岁时首次罹患此疾病,并通过丙戊酸盐和左甲状腺素成功治愈。文中讨论了衰老、甲状腺功能减退及中风对该女性疾病病因的影响。同时还对老年快速循环型双相情感障碍的药物治疗进行了综述。