Evidence map›Paper›PMID 35794767›Full record

SynthesisCurrent neuropharmacology2023

Bipolar Disorder and Manic-Like Symptoms in Alzheimer's, Vascular and Frontotemporal Dementia: A Systematic Review.

Camilla Elefante, Giulio Emilio Brancati, Samuele Torrigiani, Salvatore Amadori, Sara Ricciardulli, Gabriele Pistolesi, Lorenzo Lattanzi, Giulio Perugi

Abstract readSystematic Review
In one paragraph

Synthesis in Current neuropharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Somatic morbidity in bipolar disorders.International journal of bipolar disorders · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Donepezil-induced manic episodes in two patients with different types of dementia.Dusunen adam : Bakirkoy Ruh ve Sinir Hastaliklari Hastanesi yayin organi · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Camilla ElefanteDepartment of Clinical and Experimental Medicine, University of Pisa, Psychiatry Unit, Pisa, Italy.
Giulio Emilio BrancatiDepartment of Clinical and Experimental Medicine, University of Pisa, Psychiatry Unit, Pisa, Italy.
Samuele TorrigianiDepartment of Clinical and Experimental Medicine, University of Pisa, Psychiatry Unit, Pisa, Italy.
Salvatore AmadoriDepartment of Clinical and Experimental Medicine, University of Pisa, Psychiatry Unit, Pisa, Italy.
Sara RicciardulliDepartment of Clinical and Experimental Medicine, University of Pisa, Psychiatry Unit, Pisa, Italy.
Gabriele PistolesiDepartment of Clinical and Experimental Medicine, University of Pisa, Psychiatry Unit, Pisa, Italy.
Lorenzo LattanziPsychiatry Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Giulio PerugiDepartment of Clinical and Experimental Medicine, University of Pisa, Psychiatry Unit, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn increased risk of manic episodes has been reported in patients with neurodegenerative disorders, but the clinical features of bipolar disorder (BD) in different subtypes of dementia have not been thoroughly investigated.

objectivesThe main aim of this study is to systematically review clinical and therapeutic evidence about manic syndromes in patients with Alzheimer's disease (AD), vascular dementia (VaD), and frontotemporal dementia (FTD). Since manic-mixed episodes have been associated to negative outcomes in patients with dementia and often require medical intervention, we also critically summarized selected studies with relevance for the treatment of mania in patients with cognitive decline.

methodsA systematic review of the literature was conducted according to PRISMA guidelines. PubMed, Scopus, and Web of Science databases were searched up to February 2022. Sixty-one articles on patients with AD, VaD, or FTD and BD or (hypo) mania have been included.

resultsManic symptoms seem to be associated to disease progression in AD, have a greatly variable temporal relationship with cognitive decline in VaD, and frequently coincide with or precede cognitive impairment in FTD. Overall, mood stabilizers, and electroconvulsive therapy may be the most effective treatments, while the benefits of short-term treatment with antipsychotic agents must be balanced with the associated risks. Importantly, low-dose lithium salts may exert neuroprotective activity in patients with AD.

conclusionPrevalence, course, and characteristics of manic syndromes in patients with dementia may be differentially affected by the nature of the underlying neurodegenerative conditions.

Indexed as

Alzheimer DiseaseAntipsychotic AgentsBipolar DisorderFrontotemporal DementiaAntimanic AgentsHumansManiaAntimanic AgentsAntipsychotic AgentsAlzheimerbipolar disorderdementiafrontotemporal dementiaManiamanic-like symptomsmild cognitive impairmentvascular dementia

Identifiers

PMID35794767
PMCPMC10616925

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.