The Clinical Neuropsychiatry of Stroke: Cognitive, Behavioral and Emotional Disorders following Vascular Brain Injury

by Robert G. Robinson

• ISBN13: 9780521840071
• ISBN10: 0521840074
• Edition: 2nd
• Format: Hardcover
• Copyright: 2006-03-27
• Publisher: Cambridge University Press

Summary

This fully revised new edition covers the range of neuropsychiatric syndromes associated with stroke, including cognitive, emotional and behavioural disorders such as depression, anxiety and psychosis. Since the last edition there has been an explosion of published literature on this topic and the book provides a comprehensive, systematic and cohesive review of this new material. 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. This book should be read by all those involved in the care of stroke patients, including psychiatrists, neurologists, rehabilitation specialists and nurses.

Author Biography

Robert Robinson is Paul W. Penningroth Professor and Head, Department of Psychiatry, Roy J. and Lucille A. Carver College of Medicine, The University of lowa

Table of Contents

Preface	ix
Part I Introduction	1	(38)
Recent trends in the epidemiology of stroke	3	(6)
Historical perspective	9	(8)
Brain organization and cerebral basis of emotion	17	(10)
Vascular anatomy and classification of stroke	27	(12)
Part II Poststroke depression	39	(242)
Diagnosis of depression	41	(11)
Prevalence of depressive disorders	52	(8)
Phenomenology and specificity of depressive symptoms	60	(15)
Natural course of depression	75	(7)
Delayed-onset depression	82	(5)
Relationship to lesion location	87	(24)
Relationship of depression to cerebral dominance and structural asymmetries	111	(9)
Relationship of depression to bilateral hemisphere brain injury	120	(5)
Relationship of depression to physical impairment	125	(23)
Relationship to cognitive impairment and treatment	148	(23)
Relationship of aphasia to depression	171	(8)
Relationship of depression to social functioning	179	(15)
Relationship to premorbid risk factors	194	(13)
Mortality and treatment	207	(12)
Suicidal thoughts and plans	219	(9)
Biological markers	228	(9)
Mechanisms of poststroke depression	237	(14)
Treatment of poststroke depression	251	(20)
Prevention of poststroke depression	271	(10)
Part III Poststroke mania	281	(36)
Prevalence and clinical symptoms	283	(5)
Clinical and lesion correlates of poststroke mania	288	(12)
Bipolar disorder following stroke	300	(6)
Mechanism of mania following stroke	306	(8)
Treatment of mania following stroke	314	(3)
Part IV Poststroke anxiety disorders	317	(38)
Prevalence and specificity of clinical symptoms	319	(7)
Clinical and lesion correlates	326	(8)
Longitudinal course	334	(7)
Relationship of anxiety to outcome	341	(6)
Mechanism and treatment of poststroke anxiety disorder	347	(8)
Part V Other poststroke disorders	355	(100)
Psychosis	357	(9)
Anosognosia and denial of illness	366	(17)
Catastrophic reaction	383	(9)
Apathy	392	(11)
Disturbance of prosody	403	(11)
Irritability and aggression	414	(15)
Pathological laughing and crying	429	(18)
Summary and future directions	447	(8)
Index	455