[Depression and stroke: an up-to-date review].
OBJECTIVE
To define the epidemiological and clinical characteristics of Post Stroke Depression (PSD) and to evaluate treatment options.


METHODS
Systematic search using Medline electronic database limited to studies published from year 2000 to 2004, was carried out. Manual search was also performed.


RESULTS
Depression after stroke is a common event. The same, stroke incidence in depressed patients is more frequent than by chance. Risk of underdiagnosing a patient with former stroke is high. Disability after stroke is frequent, with compromission of quality of life of patients and relatives. Antidepressants are efficacious in PSD treatment, even if complete remission is difficult to obtain.


CONCLUSIONS
There is enough evidence concerning epidemiology, pathogenesis, clinical and therapy to justify psychiatrists' interest on relationship between stroke and depression.
Politi
Pierluigi
P
DSSAeP, Sezione di Psichiatria, Universittà di Pavia, Pavia. pierluigi.politi@unipv.it
Sciarini
Paola
P
Lusignani
Giovanni Segagni
GS
Micieli
Giuseppe
G
D003865:Major Depressive Disorder / Q000453:epidemiology*; D006801:Humans; D015995:Prevalence; D011788:Quality of Life / Q000523:psychology; D020521:Stroke / Q000453:epidemiology*