A Brief Psychotic Episode with Depressive Symptoms in Silent Right Frontal Lobe Infarct
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초록
Psychiatric symptoms may be related to a silent cerebral infarct, a phenomenon that has been described previouslyin literature. Acute psychosis or other neuropsychiatric symptoms including depression may present in stroke patientsand patients with lesions either within the prefrontal or occipital cortices, or in subcortical areas such as thebasal ganglia, thalamus, mid-brain, and brainstem. Psychosis in clinical stroke or in silent cerebral infarction is uncommonand not well documented in the literature. Neurological deficits are the most common presentation instroke, and nearly a third of patients that suffer a stroke may experience psychological disorders such as depressionand anxiety, related to physical disability. The present case report describes an elderly female patient who presentedwith hallucinations and depressive symptoms, and was discovered to have a recent right frontal brain infarction,without other significant neurological deficits.
Abstract
Psychiatric symptoms may be related to a silent cerebral infarct, a phenomenon that has been described previouslyin literature. Acute psychosis or other neuropsychiatric symptoms including depression may present in stroke patientsand patients with lesions either within the prefrontal or occipital cortices, or in subcortical areas such as thebasal ganglia, thalamus, mid-brain, and brainstem. Psychosis in clinical stroke or in silent cerebral infarction is uncommonand not well documented in the literature. Neurological deficits are the most common presentation instroke, and nearly a third of patients that suffer a stroke may experience psychological disorders such as depressionand anxiety, related to physical disability. The present case report describes an elderly female patient who presentedwith hallucinations and depressive symptoms, and was discovered to have a recent right frontal brain infarction,without other significant neurological deficits.
참고문헌 (9)
- Pedroso VS, "Post stroke depression:clinics, etiopathogenesis and therapeutics", Arch Clin Psychiatry (Sao Paulo), 42, pp.18~24 (2015)
- Fujikawa T, "Incidence of silent cerebral infarction in patients with major depression", Stroke, 24, pp.1631~1634 (1993)
- McMurtray A, "Acute psychosis associated with subcortical stroke : comparison between basal ganglia and mid-brain lesions", Case Rep Neurol Med, 2014, pp.428425~ (2014)
- Santos S, "Stroke-psychosis : description of two cases", Actas Esp Psiquiatr, 37, pp.240~242 (2009)
- Srivastava A, "Post-stroke depression : prevalence and relationship with disability in chronic stroke survivors", Ann Indian Acad Neurol, 13, pp.123~127 (2010)
- Whyte EM, "Post stroke depression: epidemiology, pathophysiology, and biological treatment", Biol Psychiatry, 52, pp.253~264 (2002)
- Dieguez S, "Is poststroke depression a vascular depression?", J Neurol Sci, 226, pp.53~58 (2004)
- Nishiyama Y, "Early depressive symptoms after ischemic stroke are associated with a left lenticulocapsular area lesion", J Stroke Cerebrovasc Dis, 19, pp.184~189 (2010)
- Wiart L, "Fluoxetine in early poststroke depression : a double-blind placebo-controlled study", Stroke, 31, pp.1829~1832 (2000)
