The Clinical Neuropsychiatry of Stroke

by Robinson, Robert G.

• ISBN13: 9781107407428
• ISBN10: 1107407427
• Edition: 2nd
• Format: Paperback
• Copyright: 2012-09-19
• Publisher: Cambridge Univ Pr

Summary

This second edition, published in 2006, covers the range of neuropsychiatric syndromes associated with stroke, including cognitive, emotional and behavioural disorders such as depression, anxiety and psychosis. There is growing recognition among a wide range of clinicians and allied healthcare staff that post-stroke neuropsychiatric syndromes are common and serious. Such complications can have a negative impact on recovery and even survival; however, there is now evidence suggesting that pre-emptive therapeutic intervention in high-risk patient groups can prevent the initial onset of the conditions. This opportunity for primary prevention marks a huge advance in the management of this patient population.

Table of Contents

Recent trends in the epidemiology of stroke

Historical perspective

Brain organization and cerebral basis of emotion

Vascular anatomy and classification of stroke

Diagnosis of depression

Prevalence of depressive disorders

Phenomenology and specificity of depressive disorders

Natural course of depression

Delayed-onset depression (proofed)

Relationship to lesion location

Relationship of depression to cerebral dominance and structural asymmetries

Relationship of depression to bilateral hemisphere brain injury

Relationship of depression to physical impairment

Relationship to cognitive impairment and treatment

Relationship of aphasia to depression

Relationship of depression to social functioning

Relationship to premorbid risk factors

Mortality and treatment

Suicidal thoughts and plans

Biological markers

Mechanisms of poststroke depression

Treatment of poststroke depression

Prevention of poststroke depression

Prevalence and clinical symptoms

Clinical and lesion correlates of poststroke mania

Bipolar disorder following stroke

Mechanism of mania following stroke

Treatment of mania following stroke

Prevalence and specificity of clinical symptoms

Clinical and lesion correlates

Longitudinal course

Relationship of anxiety to outcome

Mechanism and treatment of poststroke anxiety disorder

Psychosis

Anosognosia and denial of illness

Catastrophic reaction

Apathy

Disturbance of prosody

Irritability and aggression

Pathological laughing and crying

Summary and future directions

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