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Herbal mania: a diagnostic dilemma?

Published online by Cambridge University Press:  13 June 2014

Brendan D Kelly
Stanley Research Centre, St John of Gods Hospital, Stillorgan, Dublin, Ireland
Ben Ogburn
Hawke's Bay Memorial Hospital, Omahu, Road, Hastings, New Zealand


A case of affective psychosis and cognitive impairment is described. The patient had a history of cerebrovascular disease and had been ingesting large quantities of a complex herbal tonic prior to presentation. Diagnostic issues are discussed. Relevant literature on cerebrovascular disease and herbal remedies is reviewed. We propose a stress-diathesis model to account for this patient's illness and we advise caution in the use of complementary therapies in patients with compromised cerebrovascular status. Appropriate practice guidelines are outlined.

Case Reports
Copyright © Cambridge University Press 2001

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