[Schizophrenia with manic paroxysms during its course].

A total of 34 patients with the monopolar manic course of paroxysm-like schizophrenia were studied for their premorbid characteristics and the nature of their paroxysms, remissions and personality changes. The premorbid characteristics were consistent with the personality structure of schizoids or hyperthymic psychopaths. Two different types of manic paroxysms were specified: simple manic states whose symptomatology was determined mostly by affective disturbances and manic-delirious paroxysms manifested in the form of mania with acute sensual delusion and manic-paranoid conditions. Certain differences in the time-course of the disease were found to depend on the type of the manifest paroxysm. The author elucidated relatively unremarkable and slowly increasing personality changes and the good quality of remissions in cases with prolonged hypomania.