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Case Records of the Massachusetts General HospitalFree Preview

Case 10-2021: A 70-Year-Old Man with Depressed Mood, Unsteady Gait, and Urinary Incontinence

List of authors.
  • Feyza Marouf, M.D.,
  • McKinley Glover, M.D.,
  • Bryce Wininger, M.D.,
  • and William T. Curry, M.D.

A 70-year-old man with bipolar disorder was evaluated because of depressed mood, suicidal ideation, and gait disturbance. One month earlier, he had been voluntarily hospitalized for depression. In the following weeks, he had worsening gait instability and urinary incontinence. Diagnostic tests were performed.

Funding and Disclosures

This case was presented at Psychiatry Grand Rounds.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

No potential conflict of interest relevant to this article was reported.

We thank Dr. Bart K. Chwalisz for his assistance with this case, Dr. Steven E. Arnold for his review of the case history, and Dr. Linda Herrera Santos for providing the videos.

Author Affiliations

From the Departments of Psychiatry (F.M., B.W.), Radiology (M.G.), and Neurosurgery (W.T.C.), Massachusetts General Hospital, and the Departments of Psychiatry (F.M., B.W.), Radiology (M.G.), and Neurosurgery (W.T.C.), Harvard Medical School both in Boston.

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