[Affective disorders in the chronic phase of ischemic cerebrovascular disease].
Thirty-nine percent (33/83) of patients in this study present affective disorders in the chronic phase of ischemic cerebral vascular disease (ICV). The incidence of depression reaches its maximum in atherothrombotic infarcts (52%, 15/29) and in infarcts of cardiac embolic origin (71%, 5/7), and its minimum in lacunar infarcts (25%, 11/43). Affective disorders are more common (27%) in patients with previous history of depression (p = 0.005) and they are more common when the infarcts are extensive (87%, 7/8), they are located in the carotid territory (42%, 25/59), in the dominant cerebral hemisphere (60%, 20/33) and they are more frequent at cortical level (55%, 15/27) (p = 0.03), mainly when they produce a clinical situation with moderate (50%, 10/20) or severe (87%, 7/8) (p = 0.006) limitation. Our results demonstrate that affective disorders are frequent in the chronic phase of ischemic cerebral vascular disease and it is mandatory its correct diagnosis in order to perform an adequate treatment and to improve the clinical symptoms of these patients.
Arboix
A
A
Servicio de Neurología, Hospital de la Santa Creu i Sant Pau, Barcelona.
Mauri
L
L
Martí-Vilalta
J L
JL
D002545:Brain Ischemia / Q000150:complications* / Q000175:diagnosis; D002544:Cerebral Infarction / Q000150:complications / Q000175:diagnosis; D002908:Chronic Disease; D003866:Depressive Disorder / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D019964:Mood Disorders / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors
Trastornos afectivos en la fase crónica de la enfermedad vascular cerebral isquémica.