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The incidence of post-stroke depression peaks at 3–6 months and usually resolves within 1–2 years after the stroke, although a minority of patients can go on to develop chronic depression. The diagnosis of post-stroke depression is complicated by other consequences of stroke such as fatigue and psychomotor retardation – which do not ...
PSD has a reported incidence of 18% to 33%, though it is commonly underdiagnosed due to overlapping symptoms between stroke and depression. [3] A comprehensive meta-analysis found that over half of stroke patients experience at least one episode of depression. [4] Various risk factors increase the likelihood of developing PSD, including: [3] [4 ...
Other symptoms of cerebrovascular disease include migraines, seizures, epilepsy, or cognitive decline. However, cerebrovascular disease may go undetected for years until an acute stroke occurs. In addition, patients with some rare congenital cerebrovascular diseases may begin to have these symptoms in childhood. [15]
Due to few random control trials and generally weak evidence, more research is needed to gain a complete understanding of the ideal type and parameters of therapeutic interventions for treatment of acquired brain injuries. [15] For more information on therapeutic interventions for acquired brain injury, see stroke and traumatic brain injury.
Since stroke is an essential part of vascular dementia, [13] the goal is to prevent new strokes. This is attempted through reduction of stroke risk factors, such as high blood pressure, high blood lipid levels, atrial fibrillation, or diabetes mellitus. [2] [5] Medications for high blood pressure are used to prevent pre-stroke dementia. [19]
Stroke/transient ischemic attack (TIA) Withdrawal from drugs, especially sedative hypnotics, e.g. alcohol or benzodiazepines [16] [17] Other conditions that may be related to organic brain syndrome include: clinical depression, neuroses, and psychoses, which may occur simultaneously with the OBS.
[2] [3] Signs and symptoms often appear soon after the stroke has occurred. [3] If symptoms last less than 24 hours, the stroke is a transient ischemic attack (TIA), also called a mini-stroke. [3] Hemorrhagic stroke may also be associated with a severe headache. [3] The symptoms of stroke can be permanent. [5]
A meta-analysis concluded that with anti-depressant medication, a percentage of patients in remission from depressive symptoms significantly improved with anti-depressants alone. [6] This suggests that this type of medication might be beneficial in treating both the behavioral and cardiovascular symptoms of depression. Aldosterone antagonist
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