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The article you requested is

Resolution of Late-Onset Hypomania After Repair of Carotid Artery Stenosis: A Case of Vascular Hypomania

J Clin Psychiatry 2007;68:798-798 [letter]

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Sir: Ischemia from cerebrovascular disease may be etiologically important in a subtype of geriatric depression called vascular depression.1 It is less clear if a similar subtype of vascular mania exists. However, patients with late-onset mania have more vascular risk factors than those with early-onset, supporting the idea of a secondary mania related to cerebrovascular disease.2