Postpartum Mania in Bipolar Manic-Depressive Patients Withdrawn from Lithium Carbonate

1979 ◽  
Vol 167 (9) ◽  
pp. 572-574 ◽  
Author(s):  
STEVEN D. TARGUM ◽  
YOLANDE B. DAVENPORT ◽  
MARIAN J. WEBSTER
1969 ◽  
Vol 115 (527) ◽  
pp. 1185-1188 ◽  
Author(s):  
S. R. Platman ◽  
R. R. Fieve

This paper examines the degree of electroencephalogram abnormality among the three phases of manic-depressive disease and the changes brought about by lithium carbonate. The earlier investigators (Berger, 1931; Lemere, 1936) reported no abnormalities in the EEGs of manic-depressive patients. Later workers (Davis, 1941; Hurst et al., 1954; Hes, 1960) found prominent changes between the two phases. However, Harding et al. (1966) noted no common pattern in their three cases when analysed for mean abundance, harmonic mean and variability of alpha rhythm.


1974 ◽  
Vol 124 (579) ◽  
pp. 134-139 ◽  
Author(s):  
Gabrielle A. Carlson ◽  
Joel Kotin ◽  
Yolande B. Davenport ◽  
Marvin Adland

Despite the monumental follow-up studies of patients with manic-depressive illness by Lundquist (1945), Rennie (1942), Hastings (1958), and more recently, Shobe (1971), the development of the concept of unipolar and bipolar forms of affective disorders with clinical (Brodie and Leff, 1971), genetic (Dunner et al., 1970; Winokur et al., 1969), and biologic differences (Buchsbaum et al., 1971; Cohn et al., 1970), has necessitated a revaluation of the question of outcome in this psychiatric illness. The availability of lithium carbonate for both acute and prophylactic treatment of mania (Schou, 1968; Coppen et al., 1971), and possibly depression (Goodwin et al., 1972), has also increased the clinical importance of the unipolar-bipolar distinction. The purpose of this study is to provide further information regarding the course of bipolar manic-depressive illness by reporting the level of functioning, recurrence of episodes, and quality of life at follow-up assessed in a group of patients formerly hospitalized for mania at the National Institutes of Health.


1986 ◽  
Vol 11 (2) ◽  
pp. 155-160 ◽  
Author(s):  
John H. Lazarus ◽  
Alan M. McGregor ◽  
Marion Ludgate ◽  
Chris Darke ◽  
Fionula M. Creagh ◽  
...  

1976 ◽  
Vol 6 (3) ◽  
pp. 381-392 ◽  
Author(s):  
Brij M. Saran ◽  
Gerald F. M. Russell

SynopsisEleven patients in remission from manic-depressive illness were studied by means of metabolic balances before and after the administration of lithium carbonate. Lithium caused a sharp diuresis of isotonic saline and a smaller excretion of potassium over the course of two days. During the subsequent two days there occurred a compensatory retention of Na, K and water. These short-term changes were not associated with any significant alteration in the patients' mood. There was no significant and systematic retention of Na, K or water over the 14 days of Li administration. The recovery of Li was measured simultaneously. During the first week only a proportion of the administered Li was recovered in the urine and faeces, suggesting that a gradual distribution of Li throughout its body space was occurring. After the first week, nearly all the administered Li was recovered, indicating an equilibrium with an even distribution of the ion throughout its body space. This equilibrium was more complete at this early stage in those patients who had been given a smaller dose of lithium carbonate.


1973 ◽  
Vol 18 (3) ◽  
pp. 329-335 ◽  
Author(s):  
J.H. Lazarus ◽  
G.S. Fell ◽  
J.W.K. Robertson ◽  
W.T. Millar ◽  
E.H. Bennie

1976 ◽  
Vol 129 (1) ◽  
pp. 40-44 ◽  
Author(s):  
David L. Dunner ◽  
Joseph L. Fleiss ◽  
Ronald R. Fieve

SummaryData from non-rapid-cycling bipolar (manic-depressive) patients who were receiving long-term treatment with lithium carbonate were analysed by the life table method to determine when lithium carbonate prophylaxis failures occurred. Forty-four of 96 patients failed to keep well in spite of maintenance lithium therapy. The analysis revealed an early, rapid failure rate during the first six months of treatment, which was followed by a slower rate of failure. Several clinical factors were assessed to determine if any of them predicted which patients would experience their initial failure in the early or late interval, but none of these factors, which included age, sex, age of onset, rate of affective attacks, family history, and the nature of the preceding episode, were found to have any predictive value regarding lithium prophylaxis failure. We found, however, that patients who had early failures tended to have a subsequent early failure in spite of continued maintenance with lithium carbonate.


1975 ◽  
Vol 127 (2) ◽  
pp. 144-148 ◽  
Author(s):  
Malcolm Peet

SummaryThe potential difference across the rectal mucosa (rectal p.d.) is generated by the active transport of sodium across the mucosa, and it is sensitive to the action of aldosterone. The rectal p.d. values of depressive patients on no treatment, tested whilst depressed or after recovery, were found to be similar to those of control subjects, indicating that sodium transport across the rectal mucosa and the activity of aldosterone were normal in these patients. This contrasts with previous reports of abnormalities of sodium transport and of aldosterone levels in manic-depressive patients. Manic-depressive patients taking lithium carbonate as a prophylactic agent were found to have significantly elevated rectal p.d. values when normothymic. Patients who had become depressed whilst taking lithium, and in whom prophylaxis had therefore failed, were found to have normal rectal p.d. values. Lack of elevation of rectal p.d. in response to lithium administration may be a characteristic of patients who fail to respond to lithium prophylaxis.


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