Delusions and mood disorders in patients with chronic aphasia.
Sixty-one inpatients manifesting chronic aphasic syndromes were reviewed. Most aphasic patients with behavioral abnormalities sufficiently severe to require hospitalization had posterior hemispheric lesions and fluent disorders. Thirty-eight (62%) had fluent aphasia, eight (13%) had nonfluent aphasia, and 15 (25%) had anomic, global, or transcortical aphasic syndromes. Delusions were more common among patients with fluent aphasias (58%), whereas depression was the most common psychiatric disorder among patients with anterior lesions (63%). Elation occurred in 12 patients, 11 with posterior lesions and 1 with a nonlocalizing syndrome. Neuropsychiatric disturbances in patients with chronic aphasia syndromes correlate with the type of language disorder and with the location of the associated lesion.
Signer
S
S
Department of Psychiatry, Royal Ottawa Hospital, Canada.
Cummings
J L
JL
Benson
D F
DF
D000328:Adult; D000368:Aged; D001037:Aphasia / Q000150:complications* / Q000523:psychology; D001927:Brain Diseases / Q000150:complications* / Q000523:psychology; D001930:Brain Injuries / Q000150:complications / Q000523:psychology; D002908:Chronic Disease; D003702:Delusions / Q000209:etiology* / Q000523:psychology; D003866:Depressive Disorder / Q000209:etiology / Q000523:psychology; D005260:Female; D007839:Functional Laterality; D006801:Humans; D007806:Language Disorders / Q000209:etiology; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000209:etiology* / Q000523:psychology; D012189:Retrospective Studies; D012737:Sex Factors