title: Delayed-onset post-stroke delusional disorder: a case report.
abstract: Although the prevalence of neuropsychiatric disorders among patients with cerebrovascular illness is relatively high, there are only few case reports describing post-stroke psychotic symptoms. In general, post-stroke psychoses have been reported to emerge few days after the vascular event and to vanish soon afterwards. In this report, we describe delayed-onset post-stroke delusional disorder, persecutory type. A middle-aged female patient developed a persistent delusional disorder with homicidal behavior about one year after a cerebrovascular accident affecting the right fronto-temporo-parietal region and a long period of chronic post-stroke mixed anxiety and depressive symptoms. Our case suggests that there might be long intervals between stroke and the appearance of psychotic symptoms.
authors.affiliation: Departamento de Psiquiatria e Medicina Legal and Instituto de Psiquiatria, Programa de Ansiedade e Depressão, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil Departamento de Psiquiatria e Saúde Mental, Universidade Federal Fluminense, Niterói, RJ, Brasil.
authors.forename: Raíssa B
authors.initials: RB
authors.lastname: Barboza
authors.forename: Gabriel R
authors.initials: GR
authors.lastname: De Freitas
authors.forename: Fernanda
authors.initials: F
authors.lastname: Tovar-Moll
authors.forename: Leonardo F
authors.initials: LF
authors.lastname: Fontenelle
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D012563:Schizophrenia, Paranoid / Q000150:complications / Q000175:diagnosis / Q000523:psychology*; D020521:Stroke / Q000150:complications / Q000523:psychology*; D013997:Time Factors