1DM Resident in Geriatric Mental Health, Department of Geriatric Mental Health, King George's Medical University, Lucknow, Uttar Pradesh, India
2Assitant Professor of Geriatric Mental Health, Department of Geriatric Mental Health, King George's Medical University, Lucknow, Uttar Pradesh, India
*Correspondence: Dr. Manjunadh Muraleedharan, Room No. B206, Gautam Buddha Hostel, King George's Medical University, Lucknow-226003, Uttar Pradesh, India. manjunadh1987@gmail.com
Online published on 30 June, 2017.
Diagnosing primary psychiatric disorder in elderly is a challenge considering the high prevalence of neurological and other medical diseases presenting with psychiatric manifestation. The first episode of mania occurring after the age of 80 years is extremely rare. We report a case of an 88-year-old married Hindu male educated up to fifth standard from rural background and lower socioeconomic status presenting with first episode mania, diagnosed using the tenth revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) criteria. Secondary causes were ruled out and successfully treated with low dose olanzapine.
Elderly, Olanzapine, Zolpidem
