Abstract
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.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Adult
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Aged
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Aged, 80 and over
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Aphasia / diagnosis
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Aphasia / physiopathology*
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Aphasia / psychology
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Brain Mapping
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Cerebral Cortex / physiopathology
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Cerebral Hemorrhage / diagnosis
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Cerebral Hemorrhage / physiopathology*
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Cerebral Hemorrhage / psychology
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Cerebral Infarction / diagnosis
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Cerebral Infarction / physiopathology*
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Cerebral Infarction / psychology
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Cohort Studies
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Depression / diagnosis
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Depression / physiopathology*
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Depression / psychology
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Female
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Follow-Up Studies
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Frustration*
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Hostility*
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Humans
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Infarction, Middle Cerebral Artery / diagnosis
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Infarction, Middle Cerebral Artery / physiopathology
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Infarction, Middle Cerebral Artery / psychology
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Intracranial Embolism / diagnosis
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Intracranial Embolism / physiopathology*
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Intracranial Embolism / psychology
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Magnetic Resonance Imaging
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Male
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Middle Aged
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Neurologic Examination
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Prospective Studies
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Reflex, Abnormal / physiology*
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Thalamus / physiopathology
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Tomography, X-Ray Computed