Poststroke neuropsychiatric illness: An integrated approach to diagnosis and management

James A. Bourgeois, Donald M. Hilty, Celia H Chang, Mark A. Wineinger, Mark E Servis

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Patients who have had stroke are at significant risk for various neuropsychiatric illnesses. The most common and important of these are poststroke depression and poststroke dementia (attributable to vascular dementia, Alzheimer's dementia, or a combination of mechanisms). Poststroke neuropathology may lead some patients to experience concurrent and "overlapping" mood and cognitive symptoms. Less frequently, poststroke anxiety disorders, psychosis, isolated pathologic expressions of emotions, and apathy or fatigue may be encountered. The authors review the current literature on poststroke neuropsychiatry and offer an integrated approach to pathophysiologic concepts and clinical surveillance, screening, diagnosis, and evidence-based pharmacologic and nonpharmacologic intervention for these clinical problems on the clinical boundary between neurology and psychiatry.

Original languageEnglish (US)
Pages (from-to)403-420
Number of pages18
JournalCurrent Treatment Options in Neurology
Volume6
Issue number5
StatePublished - Sep 2004

Fingerprint

Neuropsychiatry
Apathy
Neurobehavioral Manifestations
Vascular Dementia
Neurology
Anxiety Disorders
Psychotic Disorders
Fatigue
Psychiatry
Dementia
Alzheimer Disease
Emotions
Stroke
Depression
Neuropathology

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Poststroke neuropsychiatric illness : An integrated approach to diagnosis and management. / Bourgeois, James A.; Hilty, Donald M.; Chang, Celia H; Wineinger, Mark A.; Servis, Mark E.

In: Current Treatment Options in Neurology, Vol. 6, No. 5, 09.2004, p. 403-420.

Research output: Contribution to journalArticle

@article{c99acf209ff34531972d1eee0dfa3d8e,
title = "Poststroke neuropsychiatric illness: An integrated approach to diagnosis and management",
abstract = "Patients who have had stroke are at significant risk for various neuropsychiatric illnesses. The most common and important of these are poststroke depression and poststroke dementia (attributable to vascular dementia, Alzheimer's dementia, or a combination of mechanisms). Poststroke neuropathology may lead some patients to experience concurrent and {"}overlapping{"} mood and cognitive symptoms. Less frequently, poststroke anxiety disorders, psychosis, isolated pathologic expressions of emotions, and apathy or fatigue may be encountered. The authors review the current literature on poststroke neuropsychiatry and offer an integrated approach to pathophysiologic concepts and clinical surveillance, screening, diagnosis, and evidence-based pharmacologic and nonpharmacologic intervention for these clinical problems on the clinical boundary between neurology and psychiatry.",
author = "Bourgeois, {James A.} and Hilty, {Donald M.} and Chang, {Celia H} and Wineinger, {Mark A.} and Servis, {Mark E}",
year = "2004",
month = "9",
language = "English (US)",
volume = "6",
pages = "403--420",
journal = "Current Treatment Options in Neurology",
issn = "1092-8480",
publisher = "Current Science, Inc.",
number = "5",

}

TY - JOUR

T1 - Poststroke neuropsychiatric illness

T2 - An integrated approach to diagnosis and management

AU - Bourgeois, James A.

AU - Hilty, Donald M.

AU - Chang, Celia H

AU - Wineinger, Mark A.

AU - Servis, Mark E

PY - 2004/9

Y1 - 2004/9

N2 - Patients who have had stroke are at significant risk for various neuropsychiatric illnesses. The most common and important of these are poststroke depression and poststroke dementia (attributable to vascular dementia, Alzheimer's dementia, or a combination of mechanisms). Poststroke neuropathology may lead some patients to experience concurrent and "overlapping" mood and cognitive symptoms. Less frequently, poststroke anxiety disorders, psychosis, isolated pathologic expressions of emotions, and apathy or fatigue may be encountered. The authors review the current literature on poststroke neuropsychiatry and offer an integrated approach to pathophysiologic concepts and clinical surveillance, screening, diagnosis, and evidence-based pharmacologic and nonpharmacologic intervention for these clinical problems on the clinical boundary between neurology and psychiatry.

AB - Patients who have had stroke are at significant risk for various neuropsychiatric illnesses. The most common and important of these are poststroke depression and poststroke dementia (attributable to vascular dementia, Alzheimer's dementia, or a combination of mechanisms). Poststroke neuropathology may lead some patients to experience concurrent and "overlapping" mood and cognitive symptoms. Less frequently, poststroke anxiety disorders, psychosis, isolated pathologic expressions of emotions, and apathy or fatigue may be encountered. The authors review the current literature on poststroke neuropsychiatry and offer an integrated approach to pathophysiologic concepts and clinical surveillance, screening, diagnosis, and evidence-based pharmacologic and nonpharmacologic intervention for these clinical problems on the clinical boundary between neurology and psychiatry.

UR - http://www.scopus.com/inward/record.url?scp=4544349582&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=4544349582&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:4544349582

VL - 6

SP - 403

EP - 420

JO - Current Treatment Options in Neurology

JF - Current Treatment Options in Neurology

SN - 1092-8480

IS - 5

ER -