دورية أكاديمية
Psychotic Disorder after Left Posterior Cerebral Artery Stroke-An Atypical Event.
| العنوان: | Psychotic Disorder after Left Posterior Cerebral Artery Stroke-An Atypical Event. |
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| المؤلفون: | Nascimento H; Neurology Department, Centro Hospitalar Universitário de Santo António (CHUdSA), 4099-001 Porto, Portugal., Almeida B; Psychiatry Inpatient Unit, Hospital de Magalhães Lemos, 4149-003 Porto, Portugal. |
| المصدر: | Actas espanolas de psiquiatria [Actas Esp Psiquiatr] 2024 Feb; Vol. 52 (1), pp. 60-65. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Fundación Juan José López-Ibor Country of Publication: Spain NLM ID: 100886502 Publication Model: Print Cited Medium: Internet ISSN: 1578-2735 (Electronic) Linking ISSN: 11399287 NLM ISO Abbreviation: Actas Esp Psiquiatr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : Zaragoza, Spain : Fundación Juan José López-Ibor Original Publication: Madrid : Editorial Garsi, c1999- |
| مواضيع طبية MeSH: | Infarction, Posterior Cerebral Artery*/complications , Psychotic Disorders*/etiology, Aged ; Female ; Humans ; Hallucinations ; Personality Disorders ; Posterior Cerebral Artery |
| مستخلص: | Introduction: Stroke survivors usually present physical and neuropsychiatric complications. Post-stroke psychosis (PSPsy) is a particularly neglected sequel despite its disruptive nature. Objectives: To present a case of early emerging neuropsychiatric symptoms following a left posterior cerebral artery (PCA) stroke. To review and discuss PSPsy clinical manifestations, pathophysiology, and clinical outcomes. Clinical Case: A previously autonomous 68-year-old woman with vascular risk factors and depressive disorder presented to the emergency department with a 5-day history of disorientation, motor aphasia, and right hypoesthesia. Computer tomography revealed a left PCA stroke. She was started on acetylsalicylic acid and rosuvastatin and discharged the next day. Afterward, the patient developed a depressive mood, emotional lability, periods of confusion, delusions of persecution, guilt and unworthiness, auditory hallucinations, and suicide ideation. She was admitted to a psychiatric hospital and started on risperidone with a good response, being discharged after 15 days with the resolution of psychiatric symptoms. Conclusions: PSPsy is more common after right hemisphere lesions and usually develops after some months. Nevertheless, our patient presented PSPsy following an ischemic event of the left PCA, with neuropsychiatric symptomatology dominating the clinic since the beginning. The involvement of the retrosplenial cortex or its connections was likely important for this atypical presentation. Due to the lack of guidelines on approaching PSPsy, most patients are treated with the same strategies used for non-stroke patients. A better comprehension of the anatomical basis underlining the symptomatology in these patients could deepen the understanding of psychosis and psychotic disorders. |
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| تواريخ الأحداث: | Date Created: 20240308 Date Completed: 20240311 Latest Revision: 20240424 |
| رمز التحديث: | 20240424 |
| مُعرف محوري في PubMed: | PMC10926015 |
| PMID: | 38454893 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1578-2735 |
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