Malik Yogender, Chakrabarti Subho
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Ind Psychiatry J. 2018 Jul-Dec;27(2):305-307. doi: 10.4103/ipj.ipj_69_17.
Depression associated with cerebrovascular disease (CVD) is common among the elderly. Two major types are described, including poststroke depression (PSD), which occurs following a clinically apparent stroke and vascular depression (VaD) which results from silent cerebral infarctions or lacunar infarcts mainly in the subcortical regions. Although PSD and VaD have been regarded as distinctive types of depression, there appears to be a great degree of overlap between them. The case of an elderly patient with late-onset depression is presented to highlight this overlap.
与脑血管疾病（CVD）相关的抑郁症在老年人中很常见。主要描述了两种类型，包括中风后抑郁症（PSD），它发生在临床上明显的中风之后；以及血管性抑郁症（VaD），它主要由皮质下区域的无症状脑梗死或腔隙性梗死引起。尽管PSD和VaD被认为是不同类型的抑郁症，但它们之间似乎有很大程度的重叠。本文介绍了一位老年迟发性抑郁症患者的病例，以突出这种重叠。
