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An 82-Year-Old Woman With Mood Changes Following a Stroke
Robert G. Robinson, MD, Discussant
JAMA. 2000;283:1607-1614.
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INTRODUCTION
DR AUDET: Mrs K is an 82-year-old woman who experienced changes in her mood and behavior 2 months after a thrombotic stroke. She has lived in a long-term care facility for the past 2 years. She is retired, has separated from her husband, and until this recent event, enjoyed participating in frequent visits from her children. Her insurance is through Medicare.
Mrs K has cerebrovascular disease characterized by mild multi-infarct dementia. Until her recent stroke, she had some memory loss, but no restrictions in her usual activities of daily living.
The acute right internal capsular stroke resulted in a left-sided ataxia-hemiparesis syndrome and left her with moderate to severe restrictions in her ability to use both her left arm and leg. She experienced significant deterioration in her activities of daily living. She now needs to use a wheelchair and has not been able to resume . . . [Full Text of this Article]
MRS K: HER UNDERSTANDING AND PERCEPTIONS
MRS K'S DAUGHTER: HER UNDERSTANDING AND PERCEPTIONS
DR W: HIS UNDERSTANDING AND PERCEPTIONS
AT THE CROSSROADS: QUESTIONS TO DR ROBINSON
Mechanisms of Poststroke Depression Differential Diagnosis of Mood Change After Stroke Evaluation of Patients to Ascertain Correct Diagnosis Treatment
QUESTIONS AND DISCUSSION
Author Affiliation: Dr Robinson is the Paul W. Penningroth Professor and Head of the Department of Psychiatry, The University of Iowa College of Medicine, Iowa City.
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