Postpartum delirious mania in a patient with diagnosis of bipolar disorder after cesarean delivery: a case report - Takeaways - MDSpire

Postpartum delirious mania in a patient with diagnosis of bipolar disorder after cesarean delivery: a case report

  • By

  • Bowen Song

  • Yiwen Yuan

  • Zhixiong Li

  • Zhongrui Ma

  • Xiufang Yang

  • Zhe Li

  • June 10, 2026

  • 0 min

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  • 1

    Delirious mania is a rare neuropsychiatric disorder characterized by rapidly evolving delirium and mania, often with psychotic symptoms.

  • 2

    The patient, a 27-year-old woman with bipolar disorder type I, developed delirious mania after her second cesarean section.

  • 3

    Initial treatments with sodium valproate, quetiapine, and propofol were ineffective, but symptoms improved rapidly after electroconvulsive therapy.

  • 4

    Women with bipolar disorder face a significantly increased risk of postpartum manic episodes, particularly after multiple childbirths.

  • 5

    Electroconvulsive therapy is considered the most effective treatment for delirious mania, with high response rates reported.

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