Presentation

55-year-old man with marked cognitive slowing and unsteady gait. Background of 10 year history of functional decline coinciding with onset of bipolar affective disorder. Frequent psychiatric inpatient admissions for mania in context of poor adherence with medications including sodium valproate. Medical history of severe ischemic heart disease, kidney failure and hypertension.

Patient Data

Age: 55 years
Gender: Male
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