A Brief Psychotic Episode with Depressive Symptoms in Silent Right Frontal Lobe Infarct.
10.4082/kjfm.2017.38.6.380
- Author:
Salziyan BADRIN
1
;
Noraini MOHAMAD
;
Nor Akma YUNUS
;
Maryam Mohd ZULKIFLI
Author Information
1. Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia. salziyan@usm.my
- Publication Type:Case Report
- Keywords:
Depression;
Psychotic Disorders;
Stroke;
Stroke Manifestations;
Aged
- MeSH:
Aged;
Anxiety;
Basal Ganglia;
Brain Infarction;
Brain Stem;
Cerebral Infarction;
Depression*;
Female;
Frontal Lobe*;
Hallucinations;
Humans;
Occipital Lobe;
Psychotic Disorders;
Stroke;
Thalamus
- From:Korean Journal of Family Medicine
2017;38(6):380-382
- CountryRepublic of Korea
- Language:English
-
Abstract:
Psychiatric symptoms may be related to a silent cerebral infarct, a phenomenon that has been described previously in literature. Acute psychosis or other neuropsychiatric symptoms including depression may present in stroke patients and patients with lesions either within the prefrontal or occipital cortices, or in subcortical areas such as the basal ganglia, thalamus, mid-brain, and brainstem. Psychosis in clinical stroke or in silent cerebral infarction is uncommon and not well documented in the literature. Neurological deficits are the most common presentation in stroke, and nearly a third of patients that suffer a stroke may experience psychological disorders such as depression and anxiety, related to physical disability. The present case report describes an elderly female patient who presented with hallucinations and depressive symptoms, and was discovered to have a recent right frontal brain infarction, without other significant neurological deficits.
