Abstract
To the Editor: This is a case report of a previously diagnosed “treatment-refractory bipolar” patient whose successful treatment of atypical migraine resulted in the questioning of any psychiatric diagnosis. A 47-year-old man was referred to the Mood Disorders Clinic for severe migraine associated with mood, “psychic,” and neurologic symptoms. He had first presented to Psychiatry 8 years earlier, for acute “mania” with agitation, extreme lability, intense anger, and religiosity necessitating hospitalization. Subsequently, he had recurrences of similar manic “crises”
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