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Anticonvulsant response in a case of anorexia nervosa and bipolar disorder associated with right‐sided brain injury
Author(s) -
Shedlack Karen J.,
Pope Harrison G.
Publication year - 1992
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/1098-108x(199211)12:3<333::aid-eat2260120314>3.0.co;2-2
Subject(s) - anorexia nervosa , mania , psychology , right hemisphere , bipolar disorder , traumatic brain injury , anticonvulsant , anorexia , psychiatry , neuroscience , medicine , epilepsy , eating disorders , lithium (medication) , cognitive psychology
The authors present a case of anorexia nervosa and subsequent mania both preceded by remote right‐sided head injury in a young man. In spite of the apparent lack of neurologic sequelae in this case, metabolic brain imaging revealed persistent cerebral physiologic dysfunction in the right hemisphere. Furthermore, both anorexic and affective syndromes resolved with anticonvulsant treatment. The authors suggest that anorexia and bipolar affective disorder in this patient may be linked to right‐sided cerebral dysfunction.