
Psychosomatics 49:447-449, September-October
doi: 10.1176/appi.psy.49.5.447
© 2008 Academy of Psychosomatic Medicine
Onset of Mania After CPAP in a Man With Obstructive Sleep Apnea
D. Bergé, M.D.,
P. Salgado, M.D.,
A. Rodríguez, M.D., and
A. Bulbena, M.D., Ph.D.
Received November 23, 2006; revised April 17, 2007; accepted April 24, 2007. From Centre Forum Hospital del Mar, Institut dAtenció Psiquiàtrica Salut Mental i Toxicomanies (IAPS). Send correspondence and reprint requests to Dr. Daniel Bergé, Centre Forum Hospital del Mar, C/ Llull 410, Barcelona, Spain 08019. e-mail: 94482{at}imas.imim.es
© 2008 The Academy of Psychosomatic Medicine
BACKGROUND: This short report presents the case of a man with chronic anergy and mild depressive symptoms probably due to obstructive sleep apnea (OAS). METHOD: The patient was treated with continuous positive airway pressure (CPAP). RESULT: He developed a first manic episode at an atypical age simultaneously with the beginning of treatment. DISCUSSION: Several possible connections between affective syndromes, OAS, and CPAP treatment are proposed and discussed relating to current literature.
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