Departamento de Psiquiatria e Medicina Legal and Instituto de Psiquiatria, Programa de Ansiedade e Depressão, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil Departamento de Psiquiatria e Saúde Mental, Universidade Federal Fluminense, Niterói, RJ, Brasil.
Behav Neurol. 2013 Jan 1;27(3):287-91. doi: 10.3233/BEN-120315.
Although the prevalence of neuropsychiatric disorders among patients with cerebrovascular illness is relatively high, there are only few case reports describing post-stroke psychotic symptoms. In general, post-stroke psychoses have been reported to emerge few days after the vascular event and to vanish soon afterwards. In this report, we describe delayed-onset post-stroke delusional disorder, persecutory type. A middle-aged female patient developed a persistent delusional disorder with homicidal behavior about one year after a cerebrovascular accident affecting the right fronto-temporo-parietal region and a long period of chronic post-stroke mixed anxiety and depressive symptoms. Our case suggests that there might be long intervals between stroke and the appearance of psychotic symptoms.
尽管脑血管病患者的神经精神障碍患病率相对较高，但仅有少数病例报告描述了卒中后精神病症状。一般来说，卒中后精神病通常在血管事件发生后几天出现，并很快消失。在本报告中，我们描述了一例迟发性卒中后妄想障碍，被害妄想型。一名中年女性患者在右额颞顶枕区脑血管意外后约 1 年出现持续性妄想障碍和杀人行为，并伴有长期慢性卒中后混合性焦虑和抑郁症状。我们的病例提示，卒中后精神病症状的出现可能存在较长的时间间隔。
