Manic delirium is defined as co-occurrence of mania and delirium. Publications are referred to case reports. In this study, we describe a 63 years old woman with signs and symptoms of delirium and suffering from bipolar disorder. Mania symptoms were not observed during her first evaluation and monitoring. There was no toxic or medical condition that explained the delirium seen. Manic delirium seems to be an acute and severe form of bipolar disorder, which can be treated with (responsive to) antipsychotics and mood stabilizers. Manic delirium should be kept in mind as a diagnosis for the patients who present with delirium and has no organic cause to explain it.
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