ACUTE MANIA DUE TO A RIGHT-HEMISPHERE INFARCTION

A 67-year-old woman who developed acute secondary mania immediately af ter a mixed (perforating and cortical) embolic brain infarction in the territory of the right middle cerebral artery is described. According to neuroradiological findings ischemic lesions involving the basal an d medial areas of the temporal lobe and the head of the caudate as wel l as the putamen were evident. In the pathogenesis of secondary mania due to cerebrovascular disease, the pattern of involved structures is unique and underlines the significance of lesion location after damage of the minor hemisphere. Eur J Neurol 5:407-409 (C) 1998 Lippincott-R aven Publishers.