Post-stroke emotional incontinence after small lenticulocapsular stroke: correlation with lesion location

@article{Kim2002PoststrokeEI,
  title={Post-stroke emotional incontinence after small lenticulocapsular stroke: correlation with lesion location},
  author={Jong S. Kim},
  journal={Journal of Neurology},
  year={2002},
  volume={249},
  pages={805-810}
}
  • Jong S. Kim
  • Published 1 July 2002
  • Medicine, Psychology
  • Journal of Neurology
Abstract. Although post-stroke emotional incontinence (EI) often occurs after lenticulocapsular strokes, what factors determine the development of EI in these patients has not been identified. I prospectively studied the development of EI in 25 patients (13 men and 12 women, mean age 58.5 years) with single, unilateral, first-ever stroke (24 infarcts and one hemorrhage) of ≤ 2 cm in diameter at 2–6 months after the stroke. The patients with major depression were excluded. The lesion location… 

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References

SHOWING 1-10 OF 23 REFERENCES

Poststroke depression and emotional incontinence

Development of PSD and PSEI is strongly influenced by lesion location, probably associated with the chemical neuroanatomy related to the frontal/temporal lobe–basal ganglia–ventral brainstem circuitry.

Pathologic laughter after unilateral stroke

  • Jong S. Kim
  • Medicine, Psychology
    Journal of the Neurological Sciences
  • 1997

Depression and its relation to lesion location after stroke

The study of discrete organic cerebral lesions resulting in clearly definable psychiatric disorders may provide an understanding of the underlying patho-physiological basis of these disorders.

Emotional Lability after Stroke

Emotional lability is a common emotional-behavioural syndrome following stroke and is probably a separate condition from post stroke depression, possibly related to the consequences of injury to anterior regions of the cerebral hemispheres.

Emotionalism after stroke.

Emotionalism is common after stroke and is associated with symptoms of a more general mood disturbance and is found especially in patients with left frontal and temporal lesions.

Affective disorders following stroke.

Systematic studies on large samples of patients may allow to establish which of these acute emotional behavioral changes are markers for the delayed development of mood disorders.

Pathoanatomic Correlation Between Poststroke Pathological Crying and Damage to Brain Areas Involved in Serotonergic Neurotransmission

Poststroke pathological crying may be attributable to stroke-induced partial destruction of the serotonergic raphe nuclei in the brain stem or their ascending projections to the hemispheres.

Temporary forced laughter after unilateral strokes.

For 3 patients in whom temporary forced laughter occurred after unilateral supratentorial infarction demonstrated by CT scan or MRI, the laughter occurred during the recovery phase of motor deficit and was 'pure' without associated weeping or other clinical features of pseudobulbar palsy.

Severe Pathological Crying After Left Anterior Choroidal Artery Infarct

A right-handed 55-year-old man who was a heavy smoker was admitted to the hospital after a right hemiplegia of sudden onset and clinical examination revealed a right global hemipLegia including the face and aright hemihypoesthesia.