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Sturge-Weber Syndrome With Bipolar Presentation: A Case Report Publisher



Mirsepassi Z1 ; Mohammadian F2 ; Hakki E1 ; Shadloo B3
Authors
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Authors Affiliations
  1. 1. Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Neurology, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Iranian National Center for Addiction Studies (INCAS), Iranian Institute for Reduction of High-Risk Behavior, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Psychiatry and Behavioral Sciences Published:2017


Abstract

Introduction: Sturge-Weber Syndrome (SWS) is a rare neurocutaneous syndrome that is manifested by overt neurological and covert psychiatric features. Although the syndrome is known to be neurocutaneous, multiple organs and systems are involved. Case Presentation: A 45-year-old male, with type I SWS was admitted to the psychiatric ward with manic-like symptoms. The case had a history of repeated psychiatric admissions due to seizures, mood and behavioral disorders. Upon admission, he had elevated mood, talkativeness, increased libido along with ictal aggression with psychic aura. The symptoms remitted with anticonvulsants. Other required diagnostic and treatment workups were also conducted. Conclusions: A holistic approach should be adopted to manage these patients. Left brain involvement, the associated stigma, seizure disorder, adverse effects of antiepileptic medications along with coping with a chronic condition might have been the underlying mechanisms for mood and behavioral changes in this patient. © 2017, Iranian Journal of Psychiatry and Behavioral Sciences.