Catastrophic reaction in acute stroke: a reflex behavior in aphasic patients.
Twelve patients with a catastrophic reaction (CR) (an outburst of frustration, depression, and anger when confronted with a task) were identified in a prospective cohort population (n = 326) with first-ever stroke admitted within 48 hours from onset. The authors' findings suggest that CR is a rare though not exceptional phenomenon in acute stroke and is associated with nonfluent aphasias and left opercular lesions. CR, poststroke depression, and emotionalism are distinct but related disorders.
Carota
A
A
Department of Neurology, CHUV, Lausanne, Switzerland. AntCar@swissonline.ch
Rossetti
A O
AO
Karapanayiotides
T
T
Bogousslavsky
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001037:Aphasia / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D001931:Brain Mapping; D002540:Cerebral Cortex / Q000503:physiopathology; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D002544:Cerebral Infarction / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D015331:Cohort Studies; D003863:Depression / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D005639:Frustration; D006791:Hostility; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D020766:Intracranial Embolism / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D011446:Prospective Studies; D012021:Reflex, Abnormal / Q000502:physiology*; D013788:Thalamus / Q000503:physiopathology; D014057:Tomography, X-Ray Computed