Location of Acute Infarcts and Agitation and Aggression in Stroke

J Neuropsychiatry Clin Neurosci. 2017 Spring;29(2):172-178. doi: 10.1176/appi.neuropsych.15110400. Epub 2016 Oct 6.

Abstract

The role of the infarct location in the development of poststroke agitation (PSA) is largely unknown. This study examined the association between the locations of infarcts and PSA at 9 months following the index stroke in 213 patients with the Chinese version of the Neuropsychiatric Inventory. Compared with the non-PSA group, PSA patients had a higher number and volume of acute pontine infarcts. Ventral pontine and lateral cerebellar infarcts were independent predictors of PSA in the multivariate analysis.

Keywords: Cerebellar Disorders; Mental Status Assessment; Stroke and Other Cerebral Vascular Disease (Neuropsychiatric Aspects).

MeSH terms

  • Aged
  • Aggression*
  • Brain Infarction / diagnostic imaging*
  • Brain Infarction / etiology*
  • Female
  • Humans
  • Image Processing, Computer-Assisted
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Neural Pathways / diagnostic imaging
  • Pons / diagnostic imaging
  • Psychiatric Status Rating Scales
  • Psychomotor Agitation / diagnostic imaging
  • Psychomotor Agitation / etiology*
  • Stroke / complications*
  • Stroke / diagnostic imaging
  • Stroke / psychology