- Last edited on August 17, 2023
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For a detailed approach to diagnosing, managing, and follow up of stroke presentations, see the above main article. | For a detailed approach to diagnosing, managing, and follow up of stroke presentations, see the above main article. | ||
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===== Post-stroke Depression (PSD) ===== | ===== Post-stroke Depression (PSD) ===== | ||
<alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success"> | <alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success"> | ||
See main article: **[[mood:1-depression:post-stroke|]]** | See main article: **[[mood:1-depression:post-stroke|]]** | ||
</alert> | </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.)] | + | * Following a stroke, the onset of depression can be 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). | * 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 ===== | ===== Pseudobulbar affect ===== | ||
- | <alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success">See main article: **[[teaching:pseudobulbar-affect|]]**</alert> | + | <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. | **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. | ||