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Post-stroke Neuropsychiatric Problems

Yıl 2019, , 419 - 437, 25.12.2019
https://doi.org/10.18863/pgy.483540

Öz

Stroke is the most frequent and significant reason of disability in society. The underlying basic pathophysiological mechanisms of stroke are infarct and hemorrhage. A total of 20% patients that had a stroke became dependent. Dementia, depression, anxiety disorder, mania, psychosis, pathological emotions, apathy and catastrophic reactions constitute challenging clinical presentations that occur after stroke. In this review, current data about epidemiology, etiology, clinic and treatment of psychopathologies that occur in poststroke period will be discussed.


Kaynakça

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İnme Sonrası Nöropsikiyatrik Sorunlar

Yıl 2019, , 419 - 437, 25.12.2019
https://doi.org/10.18863/pgy.483540

Öz

İnme toplumdaki en sık yeti
yitimi nedeni olarak göze çarpan bir hastalıktır. İnmenin altında yatan temel
patofizyolojik süreçler enfarkt ve hemorajidir. İnme geçiren hastaların %20’si
orta düzeyde bağımlı hale gelmektedir. Demans, depresyon, anksiyete bozukluğu,
mani, psikoz, patolojik emosyonlar, apati ve katastrofik reaksiyon, inme
sonrasında klinisyenlerin karşılaştıkları zorlu psikiyatrik tabloları oluşturmaktadır.
Bu derlemede, inme sonrası dönemde görülen psikopatolojilerin epidemiyoloji,
etyoloji, klinik ve tedavileri konusunda güncel gelişmeler perspektifinde elde
edilen veriler paylaşılacaktır.

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  • Tohen M, Castillo J, Pope HG Jr, Herbstein J (1994) Concomitant use of valproate and carbamazepine in bipolar and schizoaffective disorders. J Clin Psychopharmacol, 14(1):67-70.
  • Turecki G, Mari JJ, Del Porto JA (1993) Bipolar disorder following a left basal ganglia stroke. Br J Psychiatry, 163:690-701.
  • Van Rijswijk E, Van Hout H, Van de Lisdonk E, Zitman F, Van Weel C (2009) Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by family physicians; a focus group study. BMC Family Practice, 10(52):1-7.
  • Vataja R, Leppavuori A, Pohjasvaara T, Mantyla R, Aronen HJ, Salonen O et al. (2004) Poststroke depression and lesion location revisited. J Neuropsychiatry Clin Neurosci, 16(2):156-162.
  • Wallin A, Ohrfelt A, Bjerke M (2012) Characteristic clinical presentation and CSF biomarker pattern in cerebral small vessel disease. J Neurol Sci, 322(1-2):192-196.
  • Wang S, Zhang Z, Guo Y, Teng G, Chen B (2008) Hippocampal neurogenesis and behavioural studies on adult ischemic rat response to chronic mild stress. Behav Brain Res, 189(1):9-16.
  • Watanabe Y (2005) Fear of falling among stroke survivors after discharge from inpatient rehabilitation. Int J Rehabil Res, 28:149-152.
  • Whyte EM, Lenze EJ, Butters M, Skidmore E, Koenig K, Dew MA et al. (2008) An Open-Label Pilot Study of Acetylcholinesterase Inhibitors to Promote Functional Recovery in Elderly Cognitively Impaired Stroke Patients. Cerebrovasc Dis, 26:317-321.
  • Wilkinson PR, Wolfe CD, Warburton FG, Rudd AG, Howard RS, Ross-Russell RW et al. (1997) A long-term folluw-up of stroke patients. Stroke, 28(3):507-512.
  • Williams LS, Ghose SS, Swindle RW (2004) Depression and other mental health diagnoses increase mortality risk after ischemic stroke. Am J Psychiatry, 161:1090-1095.
  • Wolfe CD (2000) The impact of stroke. Br Med Bull, 56(2):275-286.
  • Yang L, Zhang Z, Sun D, Xu Z, Yuan Y, Zhang X et al. (2011) Low serum BDNF may indicate the development of PSD in patients with acute ischemic stroke. Int J Geriatr Psychiatry, 26(5): 495–502.
  • Zhou DH, Wang JY, Li J, Deng J, Gao C, Chen M (2004) Study on frequency and predictors of dementia after ischemic stroke: the Chongqing stroke study. J Neurol, 251:421-427.
  • Zhou Z, Lu T, Xu G, Yue X, Zhu W, Ma M et al. (2011) Decreased serum Brain-Derived Neurotrophic Factor (BDNF) is associated with post-stroke depression but not with BDNF gene Val66Met polymorphism. Clin Chem Lab Med, 49(2):185-189.
  • Zifko UA, Rupp M, Schwarz S (2002) Sertraline in the treatment of post stroke depression- results of an open multicenter study. Wien Med Wochenschr, 17(3):211-214.
Toplam 153 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Psikiyatri
Bölüm Derleme
Yazarlar

Ali Görkem Gençer 0000-0002-0342-3338

Çiçek Hocaoğlu 0000-0001-6613-4317

Yayımlanma Tarihi 25 Aralık 2019
Kabul Tarihi 21 Ocak 2019
Yayımlandığı Sayı Yıl 2019

Kaynak Göster

AMA Gençer AG, Hocaoğlu Ç. İnme Sonrası Nöropsikiyatrik Sorunlar. Psikiyatride Güncel Yaklaşımlar. Aralık 2019;11(4):419-437. doi:10.18863/pgy.483540

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Psikiyatride Güncel Yaklaşımlar Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.