Late-Onset Manic Episode after Bariatric Surgery

A manic episode is a clearly recognizable period with an abnormally and persistently elevated, expansive or irritable mood, with an abnormal and persistently increased targeted activity of energy, present for a week and during the biggest part of the day [1]. The episode usually fits within a bipolar disorder, in which also depressive episodes occur. These episodes often precede the manic phase. When a first manic episode occurs at a later age without any personal history, a somatic cause must always be excluded. Lateonset mania is associated with increased somatic comorbidity in patients aged 50 years and older. [2]