Late-Onset Manic Episode after Bariatric Surgery

A manic episode is a clearly recognizable period with an abnormallyand persistently elevated, expansive or irritable mood, with anabnormal and persistently increased targeted activity of energy,present for a week and during the biggest part of the day [1].The episode usually fits within a bipolar disorder, in which alsodepressive episodes occur. These episodes often precede the manicphase. When a first manic episode occurs at a later age without anypersonal history, a somatic cause must always be excluded. Lateonset mania is associated with increased somatic comorbidity inpatients aged 50 years and older. [2]