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Behandling mod trigeminusneuralgi har måske maskeret bipolar sygdom

Fotoet er venligst udlånt af 14-årige Tasha, der bor i England og elsker at fotografere, og hvis mor og stedfar begge er diagnosticeret med bipolar sygdom.
Forfattere
Anette Ellegaard Dalum & Karen Justinussen Psykiatrisk Center Nordsjælland Ugeskr Læger 2014;176:V11130666
Reference: 
Ugeskr Læger 2014;176:V11130666
Blad nummer: 
Sidetal: 
2-3
Trigeminal neuralgia treatment may have masked an undiagnosed bipolar disorder
Antiepileptical drugs (AD) are not only being used in the treatment of seizures and neuralgias but are also used for psychiatric disorders due to their mood stabilizing effect. This case report presents a 59-year-old woman with trigeminal neuralgia who was treated with AD for 25 years. After successful surgery AD were withdrawn and subsequently she developed symptoms according to bipolar disorder. We suggest that an undiagnosed bipolar disorder for years had been masked by the AD and we encourage to pay attention to the mood stabilizing effects of AD – even when used for other purposes.

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