Abstract
This rendition delves into several of the neuropsychiatric manifestations of cerebrovascular events, including mania, anxiety, apathy, disturbance of the sleep wake cycle, fatigue, sexual dysfunction, cognitive impairment, empathic impairment, theory of mind, social-emotional dysfunction, involuntary emotional expression disorder, irritability, psychosis, agitation, and depression. The focus is on the manifestations of these presentations for proper diagnosis, as well as the lesion localization particular to the respective symptomatology. Furthermore, the hope is that this contribution allows for a greater awareness regarding the complications of stroke and brings attention to the sequelae from which its victims suffer.
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References
Chemerinski E, Levine SR (2006) Neuropsychiatric disorders following vascular brain injury. Mt Sinai J Med 73(7):1006–1014
Hadidi N, Treat-Jacobson DJ, Lindquist R (2009) Poststroke depression and functional outcome: a critical review of literature. Heart Lung 38(2):151–162
Starkstein SE, Boston J, Robinson RG (1988) Mechanisms of mania after brain injury: 12 case reports and review of the literature. J Nerv Ment Dis 176:87–100
Dunne JW, Leedman PJ, Edis RH (1986) Inobvious stroke: a cause of delirium and dementia. Aust N Z J Med 16(6):771–778
Braun CMJ, Daigneault R, Gaudelet S (2008) DSMIV symptoms of mania: which ones result more often from right than left hemisphere lesions? Compr Psychiatry 49:441–459
Filardi da Rocha F, Horizonte B, Carneiro JG (2008) Poststroke manic symptoms: an unusual neuropsychiatric condition. Rev Bras Psiquiatr 30(2):168–176
Leppavuori A, Pohjasvaara T, Vataja R et al (2003) Generalized anxiety disorders three to four months alter ischemic stroke. Cerebrovasc Dis 16:257–264
Dennis M, O’Rrourke S, Lewis S, Sharpe M, Warlow C (2000) Emotional outcomes after stroke: factors associated with poor outcome. J Neurol Neurosurg Psychiatry 68:47–52
Starkstein SE, Fedoroff JP, Price TR et al (1993) Apathy following cerebrovascular lesions. Stroke 24:1625–1631
Santa N, Sugimori H, Kusuda K et al (2008) Apathy and functional recovery following first-ever stroke. Int J Rehabil Res 31(4):321–326
Paranthaman G, Balwin R (2006) Treatment of psychiatric syndromes due to cerebrovascular disease. Int Rev Psychiatry 18(5):453–470
Chen JC, Brunner RL, Ren H et al (2008) Sleep duration and ischemic stroke in older women. Stroke 39:315–3192
Schuiling WJ, Rinkel GJE, Walchenbach R et al (2005) Disorders of sleep and wake in patients after SAH. Stroke 36:578–582
Landau ME, Maldonado JY, Jabbari B (2005) The effects of isolated brainstem lesions on human REM sleep. Sleep Med 6:37–40
Lee SJ, Kim JS, Song IU (2009) Poststroke restless legs syndrome and lesion location: anatomical considerations. Mov Disord 24(1):77–84
Winward C et al (2009) Fatigue after TIA and minor stroke. Stroke 40(3):757–766
Chalder T, Berelowitz G, Pawlikowska T et al (1993) Development of a fatigue scale. J Psychosom Res 37(2):147–153
Tamtam Y, Tamtam L, Akil E et al (2008) Post-stroke sexual functioning in first stroke patients. Eur J Neurol 15:660–666
Sjogren K, Damber JE, Liliequist B (1983) Sexuality after stroke with hemiplegia: aspects of sexual function. Scand J Rehabil Med 15:55–61
Jung J-H, Kam S-C, Choi S-M (2008) Sexual dysfunction in male stroke patients: correlation between brain lesions and sexual function. Urology 71:99–103
Saczynski JS, Sigurdsson S, Jonsdottir MK et al (2009) Cerebral infarcts and cognitive performance. Stroke 40:677–682
Cummings JL, Arciniegas DB, Brooks BR (2006) Defining and diagnosing involuntary emotional expression disorder. CNS Spectr 11(6 suppl 6):1–7
Cummings JL (2007) Involuntary emotional expression disorder: definition, diagnosis and measurement scales. CNS Spectr 12(4 suppl 5):11–16
Robinson RG, Parikh RM, Lipsey JR et al (1993) Pathological laughing and crying following stroke: validation of a measurement scale and double-blind treatment study. Am J Psychiatry 150:286–293
Andersen G, Verstergaard K, Riis JO et al (1993) Citalopram for post-stroke pathological crying. Lancet 342:837–839
Angelelli P, Paolucci S, Bivona U et al (2004) Development of neuropsychiatric symptoms in poststroke patients: a cross-sectional study. Acta Psychiatr Scand 110:55–63
Williams A (1994) What bothers caregivers of stroke victims? J Neurosci Nurs 26(3):155–161
Luna-Matos M, McGrath H, Gaviria M (2007) Neuropsychiatric manifestations in cerebrovascular diseases. Rev Chil Neuro-Psiquiatr 45(2):129–140
Rabins PV, Starkstein SE, Robinson RG (1991) Risk factors for developing atypical (schizophreniform) psychosis following stroke. J Neuropsychiatry Clin Neurosci 3:6–9
Levin DN, Finklestein S (1982) Delayed psychosis after right temporoparietal stroke or trauma: relation to epilepsy. Neurology 32:267–273
Nishio Y, Ishii K, Kazui H (2007) Frontal-lobe syndrome and psychosis after damage to the brainstem dopaminergic nuclei. J Neurol Sci 260:271–274
Everson SA, Robertson RE, Goldberg DE (1998) Depressive symptoms and increased risk of stroke mortality over a 29-year period. Arch Intern Med 158:1133–1138
Hadidi N, Treat-Jacobson DJ, Lindquist R (2009) Poststroke depression and functional outcome: a critical review of litreature. Issues Neurol 38(2):151–162
Narushima K, Kosier JT, Robinson RG (2003) A reappraisal of PSD, intra- and inter-hemispheric lesion location using meta-analysis. J Neuropsychiatry Clin Neurosci 15:422–430
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Gaviria, M., Verzal, R.D. (2010). Neuropsychiatric Complications of Cerebrovascular Disease. In: Miyoshi, K., Morimura, Y., Maeda, K. (eds) Neuropsychiatric Disorders. Springer, Tokyo. https://doi.org/10.1007/978-4-431-53871-4_12
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DOI: https://doi.org/10.1007/978-4-431-53871-4_12
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