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Neuropsychiatric Complications of Cerebrovascular Disease

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Neuropsychiatric Disorders
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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

  1. Chemerinski E, Levine SR (2006) Neuropsychiatric disorders following vascular brain injury. Mt Sinai J Med 73(7):1006–1014

    Google Scholar 

  2. Hadidi N, Treat-Jacobson DJ, Lindquist R (2009) Poststroke depression and functional outcome: a critical review of literature. Heart Lung 38(2):151–162

    Google Scholar 

  3. 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

    Google Scholar 

  4. Dunne JW, Leedman PJ, Edis RH (1986) Inobvious stroke: a cause of delirium and dementia. Aust N Z J Med 16(6):771–778

    Google Scholar 

  5. 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

    Google Scholar 

  6. Filardi da Rocha F, Horizonte B, Carneiro JG (2008) Poststroke manic symptoms: an unusual neuropsychiatric condition. Rev Bras Psiquiatr 30(2):168–176

    Google Scholar 

  7. Leppavuori A, Pohjasvaara T, Vataja R et al (2003) Generalized anxiety disorders three to four months alter ischemic stroke. Cerebrovasc Dis 16:257–264

    Article  PubMed  Google Scholar 

  8. 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

    Article  PubMed  CAS  Google Scholar 

  9. Starkstein SE, Fedoroff JP, Price TR et al (1993) Apathy following cerebrovascular lesions. Stroke 24:1625–1631

    Article  PubMed  CAS  Google Scholar 

  10. 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

    Article  PubMed  Google Scholar 

  11. Paranthaman G, Balwin R (2006) Treatment of psychiatric syndromes due to cerebrovascular disease. Int Rev Psychiatry 18(5):453–470

    Article  PubMed  Google Scholar 

  12. Chen JC, Brunner RL, Ren H et al (2008) Sleep duration and ischemic stroke in older women. Stroke 39:315–3192

    Google Scholar 

  13. Schuiling WJ, Rinkel GJE, Walchenbach R et al (2005) Disorders of sleep and wake in patients after SAH. Stroke 36:578–582

    Article  PubMed  Google Scholar 

  14. Landau ME, Maldonado JY, Jabbari B (2005) The effects of isolated brainstem lesions on human REM sleep. Sleep Med 6:37–40

    Article  PubMed  Google Scholar 

  15. Lee SJ, Kim JS, Song IU (2009) Poststroke restless legs syndrome and lesion location: anatomical considerations. Mov Disord 24(1):77–84

    Article  PubMed  Google Scholar 

  16. Winward C et al (2009) Fatigue after TIA and minor stroke. Stroke 40(3):757–766

    Google Scholar 

  17. Chalder T, Berelowitz G, Pawlikowska T et al (1993) Development of a fatigue scale. J Psychosom Res 37(2):147–153

    Article  PubMed  CAS  Google Scholar 

  18. Tamtam Y, Tamtam L, Akil E et al (2008) Post-stroke sexual functioning in first stroke patients. Eur J Neurol 15:660–666

    Article  Google Scholar 

  19. Sjogren K, Damber JE, Liliequist B (1983) Sexuality after stroke with hemiplegia: aspects of sexual function. Scand J Rehabil Med 15:55–61

    PubMed  CAS  Google Scholar 

  20. 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

    Article  PubMed  Google Scholar 

  21. Saczynski JS, Sigurdsson S, Jonsdottir MK et al (2009) Cerebral infarcts and cognitive performance. Stroke 40:677–682

    Article  PubMed  Google Scholar 

  22. Cummings JL, Arciniegas DB, Brooks BR (2006) Defining and diagnosing involuntary emotional expression disorder. CNS Spectr 11(6 suppl 6):1–7

    PubMed  Google Scholar 

  23. Cummings JL (2007) Involuntary emotional expression disorder: definition, diagnosis and measurement scales. CNS Spectr 12(4 suppl 5):11–16

    Google Scholar 

  24. 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

    PubMed  CAS  Google Scholar 

  25. Andersen G, Verstergaard K, Riis JO et al (1993) Citalopram for post-stroke pathological crying. Lancet 342:837–839

    Article  PubMed  CAS  Google Scholar 

  26. 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

    Article  PubMed  CAS  Google Scholar 

  27. Williams A (1994) What bothers caregivers of stroke victims? J Neurosci Nurs 26(3):155–161

    Article  PubMed  CAS  Google Scholar 

  28. Luna-Matos M, McGrath H, Gaviria M (2007) Neuropsychiatric manifestations in cerebrovascular diseases. Rev Chil Neuro-Psiquiatr 45(2):129–140

    Google Scholar 

  29. Rabins PV, Starkstein SE, Robinson RG (1991) Risk factors for developing atypical (schizophreniform) psychosis following stroke. J Neuropsychiatry Clin Neurosci 3:6–9

    PubMed  CAS  Google Scholar 

  30. Levin DN, Finklestein S (1982) Delayed psychosis after right temporoparietal stroke or trauma: relation to epilepsy. Neurology 32:267–273

    Article  Google Scholar 

  31. 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

    Article  PubMed  Google Scholar 

  32. 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

    Article  PubMed  CAS  Google Scholar 

  33. Hadidi N, Treat-Jacobson DJ, Lindquist R (2009) Poststroke depression and functional outcome: a critical review of litreature. Issues Neurol 38(2):151–162

    Google Scholar 

  34. 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

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Moises Gaviria .

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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

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-53870-7

  • Online ISBN: 978-4-431-53871-4

  • eBook Packages: MedicineMedicine (R0)

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