[Depression following intracerebral hemorrhage and the evaluation of cerebral blood flow by single photon emission tomography].
The authors studied patients who presented depression and apathy following intracerebral hemorrhage (ICH). Twelve patients who were admitted in our hospital were divided into two groups according to the presence of post-stroke depression (PSD). Five patients with PSD are in group A, and another seven patients without PSD are in group B. Zung-self depression scale (SDS) and apathy scale were used for screening of depression and apathy. PSD was recognized in 5 (42%) of patients following ICH. Single photon emission tomography (SPECT) suggested the reduction of cerebral blood flow (CBF) in the frontal lobe in all patients of the group A (100%), whereas only 29% of patients of the group B. The reduction of CBF in the frontal lobe might be involved in the mechanism of depression following ICH in subacute stage.
Masada
Tetsuya
T
Department of Neurosurgery, Kawasaki Medical School, Kawasaki Hospital, 2-1-80 Nakayamashita, Okayama 700-8505, Japan.
Makabe
Tetsuo
T
Kunishio
Katsuzo
K
Matsumoto
Akira
A
D000368:Aged; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging* / Q000503:physiopathology; D002560:Cerebrovascular Circulation; D003863:Depression / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology*; D005260:Female; D005625:Frontal Lobe / Q000098:blood supply* / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015899:Tomography, Emission-Computed, Single-Photon