Differences

Last edited on August 17, 2023

This shows you the differences between two versions of the page.

--- geri:stroke [on July 3, 2017]
+++ geri:stroke [on August 17, 2023]
psychdb
@@ Line 1: / Line 1: @@
+====== Stroke ======
+{{INLINETOC}}
+===== Primer =====
+A **stroke** (also called a cerebrovascular accident, CVA) is an acute disturbance of the cerebral perfusion or vasculature. Approximately 85% of strokes are ischemic (blockage of a vessel) and remainder are hemorrhagic. Post-stroke, individuals are at risk for developing neuropsychiatric syndromes such as [[mood:1-depression:post-stroke|post-stroke depression]] and pseudobulbar affect.
+===== Approach =====
+<alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success">See main article: **[[neurology:approach-stroke|]]**</alert>
+For a detailed approach to diagnosing, managing, and follow up of stroke presentations, see the above main article.
+===== Post-stroke Depression (PSD) =====
+<alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success">
+See main article: **[[mood:1-depression:post-stroke|]]**
+</alert>
+==== Epidemiology ====
+  * Following a stroke, the onset of depression is acute, usually occurring within 1 day or a few days of the cerebrovascular accident (CVA).[(American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA.)]
+  * Approximately 33% of stroke survivors develop PSD at some point, with the frequency being highest in the first year of stroke (and declines thereafter).
+===== Pseudobulbar affect =====
+<alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success">See main article: **[[teaching:pseudobulbar-affect|]]**</alert>
+**Pseudobulbar affect (PBA)** (also known as emotional lability, reflex crying or laughing, emotional incontinence, and involuntary emotional expression disorder) is a neuropsychiatric syndrome common in neurological disorders including stroke, amyotrophic lateral sclerosis (ALS), Parkinson’s, traumatic brain injury, multiple sclerosis, dementia, Wilson’s disease, and brain tumors. PBA is //not// a mood disorder, but rather an abnormal display of affect that does not match an individual’s true (internal) feelings.
+===== Other Syndromes =====
+==== Akinetic Mutism ====
+  * [[https://pubmed.ncbi.nlm.nih.gov/14642361/|Nagaratnam, N., Nagaratnam, K., Ng, K., & Diu, P. (2004). Akinetic mutism following stroke. Journal of Clinical Neuroscience, 11(1), 25-30.]]
+==== Obsessive-Compulsive Symptoms ====
+<alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success">
+See main article: **[[ocd:z-other-oc-medical|]]**
+</alert>
+===== Guidelines =====
+<alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success">See also: **[[teaching:clinical-practice-guidelines-cpg|]]**</alert>
+{{page>teaching:clinical-practice-guidelines-cpg#stroke&nouser&noheader&nodate&nofooter}}