• C Y Liu, S J Wang, J L Fuh, Y Y Yang, and H C Liu.
• Department of Psychiatry, Chang-Gung Medical College and Chang-Gung Memorial Hospital, Taoyuan, Taiwan, ROC.
• Aust N Z J Psychiatry. 1996 Oct 1;30(5):688-91.

ObjectivePost-stroke mania has rarely been noted and researched, and reported cases have mostly involved the non-dominant hemisphere. In this paper, we report a case of bipolar disorder secondary to a stroke over the dominant hemisphere.Clinical PictureA 48-year-old, right-handed man had a cerebral infarct over the left temporal region. He became depressed after the stroke, and 4 months later developed a manic episode.TreatmentThe patient was treated with haloperidol and lorazepam.OutcomeThe symptoms subsided within 2 months after treatment.ConclusionsIt is premature to consider mania to be a syndrome of the right, or non-dominant, hemisphere. We suggest that further study focusing on specific anatomical regions, rather than laterality, will help to elucidate the interrelationship between mood and brain function.

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