Dupont R M, Cullum C M, Jeste D V
Department of Psychiatry, University of California, San Diego School of Medicine, La Jolla.
Psychiatr Clin North Am. 1988 Mar;11(1):133-49.
Stroke is capable of producing a varied spectrum of neurobehavioral syndromes that may come to the attention of the mental health professional evaluating psychiatric symptoms in elderly individuals. The neurobehavioral effects may include affective or psychotic symptoms and may occur immediately after the stroke or months to years later. The presence of underlying (or pre-existing) brain disease may have an adverse effect on the resolution of the neuropsychiatric symptoms. Although there are no treatment response studies in the area of psychosis following stroke, the response of poststroke depression to antidepressants makes attempted pharmacologic treatment of symptoms justified.
中风能够引发一系列多样的神经行为综合征,这可能会引起评估老年个体精神症状的心理健康专业人员的注意。神经行为影响可能包括情感或精神病性症状,可在中风后立即出现,也可能在数月至数年之后出现。潜在(或先前存在)的脑部疾病可能会对神经精神症状的缓解产生不利影响。虽然在中风后精神病领域尚无治疗反应研究,但中风后抑郁症对抗抑郁药的反应使尝试对症状进行药物治疗具有合理性。