The occurrence of mania in the elderly is under-estimated. Mania may i
naugurate a late-onset bipolar illness, extend a unipolar depressive d
isorder or rarely continue a early-onset bipolar illness. Early-onset
bipolar illness frequently disappear after 60 years or is prolonged by
reccurent depression. Late-onset bipolar illness may be preceded by s
light disturbances of mood. These modalities underline two of the vari
ous evolutions of bipolar illness. Only a prospective follow-up study
could specify it.