Manic Symptoms Due to Methylphenidate Use in an Adolescent with Traumatic Brain Injury.
10.9758/cpn.2016.14.3.314
- Author:
Ozalp EKINCI
1
;
Meltem Cobanoğullari DIREK
;
Nuran EKINCI
;
Cetin OKUYAZ
Author Information
1. Department of Child and Adolescent Psychiatry, Mersin University Medical Faculty, Mersin, Turkey. ozalpekinci@yahoo.com
- Publication Type:Case Report
- Keywords:
Brain injuries;
Adolescent;
Methylphenidate;
Bipolar disorder
- MeSH:
Adolescent*;
Bipolar Disorder;
Brain Injuries*;
Child;
Delusions;
Humans;
Male;
Methylphenidate*;
Sleep Initiation and Maintenance Disorders
- From:Clinical Psychopharmacology and Neuroscience
2016;14(3):314-317
- CountryRepublic of Korea
- Language:English
-
Abstract:
Almost one-fifth of children who sustain a traumatic brain injury (TBI) are under the risk of attention problems after injury. The efficacy and tolerability of methylphenidate (MPH) in children with a history of TBI have not been completely identified. In this case report, MPH-induced manic symptoms in an adolescent with TBI will be summarized. A male patient aged 17 years was admitted with the complaints of attention difficulties on schoolwork and forgetfullness which became evident after TBI. Long-acting MPH was administered with the dose of 18 mg/day for attention problems. After one week, patient presented with the complaints of talking to himself, delusional thoughts, irritability and sleeplessness. This case highlights the fact that therapeutic dose of MPH may cause mania-like symptoms in children with TBI. Close monitarization and slow dose titration are crucial when considering MPH in children with TBI.
