[Psychopathologic symptomatology and its prognostic value in the acute period of right hemisphere strokes].
In order to evaluate the possible psychopathological symptomatology the authors analyzed the results of a clinico-dynamical observation of 176 patients in the acute period of a stroke. Among 128 patients with the right hemisphere localization of the focus (the main group) in 60 cases (47%) there were revealed psychopathological symptoms whereas in the control group (48 cases) with left hemispheric foci only 2 patients (4.2%) such disturbances were noted. The main expressions of psychopathological syndromes in patients with lesions of the right hemisphere were anosognosia, certain emotional reactions in the form of euphoria, a drop in purposeful activity, motor and mental aspontanity and specific confabulatory disorders. The qualitative and quantitative specificity of psychopathological syndromes in focal vascular lesions of the right hemisphere is supplementary material for further deep studies of the functional asymmetry of the brain hemispheres.
D000208:Acute Disease; D000368:Aged; D002561:Cerebrovascular Disorders / Q000150:complications / Q000175:diagnosis*; D003244:Consciousness Disorders / Q000209:etiology; D003674:Defense Mechanisms; D004194:Disease; D004292:Dominance, Cerebral; D005059:Euphoria; D006801:Humans; D008875:Middle Aged; D010551:Personality; D011379:Prognosis; D011599:Psychopathology
Psikhopatologicheskaia simptomatika i ee prognosticheskoe znachenie v ostrom periode pravopolusharnogo insul'ta