Abstract |
A twenty-one-year-old female known to suffer from bipolar type I disorder developed features of a pseudodementia. Following prompt initial response to treatment with antidepressants, there was an early recurrence of cognitive impairment. Blood investigations confirmed a macrocytic anaemia and vitamin B12 and folate deficiencies. There was dramatic resolution of cognitive impairment after vitamin replacement. This suggested the occurrence of a reversible nutritional dementia and reinforced the need to rule out secondary organic causes of psychiatric symptoms even in patients previously diagnosed with a primary psychiatric disorder.
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Authors | S D Reid |
Journal | The West Indian medical journal
(West Indian Med J)
Vol. 49
Issue 4
Pg. 347-8
(Dec 2000)
ISSN: 0043-3144 [Print] Jamaica |
PMID | 11211551
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Adult
- Bipolar Disorder
(complications)
- Dementia
(diagnosis, etiology)
- Female
- Folic Acid
(therapeutic use)
- Folic Acid Deficiency
(complications, drug therapy)
- Humans
- Vitamin B 12
(therapeutic use)
- Vitamin B 12 Deficiency
(complications, drug therapy)
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