Neurology BulletinNeurology Bulletin1027-48982304-3067Eco-Vector1376710.17816/nb13767PSYCHIC DISORDERS AT ACUTE LESION OF CEREBRAL CIRCULATIONMendelevichЕlena Gкафедра неврологии и реабилитации; Казанский государственный медицинский университет; Каzan state medical universityemendel@mail.ruКаzan state medical university15092012XLIV3758020062019Copyright © 2012, Mendelevich Е.G.2012The review of the modern literature on main neuropsychiatric disorders was given: delirium, mania, "catastrophic reaction", pseudobulbar affect, depression, behavioral disorders and dementia. Questions of prevalence, clinical displays and diagnostics of clinical phenomena are discussed. Opinions on localization of mental symptoms in a brain are discussed at stroke, and on associations with other infringements.a strokemental disordersОНМКинсультпсихические расстройства[1. Andersen G. Treatment of uncontrolled crying after stroke // Drug Ther. - 1999 - Vol. 6. - P. 105-111.][2. Balakrishnan P., Rosen H. The causes and treatment of pseudobulbar affect in ischemic stroke // Curr. Treat. Options.Cardiovasc. Med. - 2008. - Vol.10.- P. 216-222.][3. Bleuler E.P: Textbook of Psychiatry. Edited by Brill AA. New York, Macmillan, 1924. - P. 27-30.][4. Bogousslavsky J., Regli F., Uske A. Thalamic infarcts // Neurology. - 1988. - Vol. - 38. - P.837- 848.][5. Caeiro L., Ferro J., Albuquerque R., Figueira M. Deliriumin the first days of acute stroke // J. Neurol. - 2004. - Vol. 251. - P. 171-178.][6. Carrera E., Michel P., Bogousslavsky J. Anteromedian, Central, and Posterolateral Infarcts of the Thalamus: Three Variant Types // Stroke. - 2004. - Vol. 35. - P. 2826-2831.][7. Carota A., Rossetti A., Karapanayiotides T., Bogou-sslavsky J.Catastrophic reaction in acute stroke: a reflex behavior in aphasic patients // Neurology. - 2001. - Vol. 57. - P. 1902-1905.][8. Carson A., MacHale S., Allen K., Lawrie S. et al. Depres-sion after stroke and lesion location: a systematic review // Lancet. - 2000. - Vol. 356. - P.122-126.][9. Carson A., Zeman A., Myles L., Sharpe M.. Neurology and neurosurgery. In: Levenson JL, ed. American Psychiatric Publishing Textbook of Psychosomatic Medicine. Washington, DC: American Psychiatric Publishing, 2005. - P. 701-732.][10. Clarke S., Assal G., Bogousslavsky J., Regli F. et al. Pure amnesia after unilateral left polar thalamic infarct: topographic and sequential neuropsychological andmetabolic (PET) correlations // J. Neurol. Neurosurg. Psychiatry. - 1994. - Vol.57. - P.27-34.][11. Dahl M., Ronning O., Thommessen B. Delirium inacute stroke-prevalence and risk factors // Acta Neurol Scand Suppl. - 2010. - Vol. 190. - P. 39-43.][12. Dunne J., Leedman P., Edis R. Inobvious stroke: a cause of delirium and demencia // Aust. N Z J. Med..- 1986. - Vol.16. - P. 771-778.][13. Edlow J., Selim M. Atypical presentations of acute cerebrovascular syndromes // Lancet Neurol. - 2011.- Vol.10.- P.550-560.][14. Engelborghs S., Marien P., Pickut B., Verstraeten S. et al. Loss of Psychic Self-Activation After Paramedian Bithalamic Infarction // Stroke. - 2000. - Vol. 31. - P.1762-1765.][15. Ghika-Schmid F., Bogousslavsky J. The acute behavioral syndromeof anterior thalamic infarction: a prospective study of 12 cases // Ann.Neurol. - 2000. - Vol. 48. - P. 220 -227.][16. Huffman J., Stern T. Acute Psychiatric Manifestations of Stroke: A Clinical Case Conference // Psychosomatics. - 2003. - Vol. 44. - P. 65-75.][17. Inouye S., Bogardus S., Charpentier P., et al. Amulti-component intervention to prevent delirium in hospitalized older patients // N. Engl. J. Med. - 1999. - Vol. 340 - P 669-676.][18. Ironside R. Disorders of laughter due to brain lesions // Brain. - 1956. Vol.79 - P. 589-609.][19. Johnson J., Curse N., Gottlieb G., et al. Prospective versus retrospective methods of identifying patients with delirium // J. of the American Geriatric Society. - 1992. - Vol. 40 - P. 316-319.][20. Kraepelin E. Manic-Depressive Insanity and Paranoia. Translated by Barclay R., edited by Robertson G. Edinburgh, E & S Livingstone. - 1921 - Р. 55-61.][21. Krolak-Salmon P., Croisile B., Houzard C., Setiey A., et al. Total recovery after bilateral paramedian thalamic infarct // Eur. Neurol. - 2000. - Vol.44. - P.216 -218.][22. Kumral E., Evyapan D., Balkir K. Acute caudate vascular lesions // Stroke.- 1999 - Vol.30 - P.100-108.][23. Lindsesay J., Rockwood K., Macdonald A. Delirium in Old Age.Chapter 4. Oxford: Oxford University Press, 2002.][24. Meagher D. Delirium: the role of psychiatry // Advances in Psychiatric Treatment. - 2001. - Vol. 7. - P. 433-443.][25. McManus J., Pathansali R., Stewart R., Macdonald A., Jackson S. Delirium post-stroke // Age and Ageing Advance Access published, 2007.][26. Morris P., Robinson R., Raphael B. Prevalence and outcome of post-stroke depression in hospitalized patients // Int J. Psychiatry Med. - 1990. - Vol. 20. - P.327-342.][27. Morris P., Robinson R., Raphael B. Prevalence and course of depressive disorders in hospitalized stroke patients // Int. J. Psychiatry Med. - 1990. - Vol. 20. - P. 349-364.][28. Morris P., Robinson R., de Carvalho M., Albert P., et al. Lesion characteristics and depressed mood in the stroke data bank study // J. Neuropsychiatry Clin. Neurosci. - 1996. - Vol. 8. - P. 153-159.][29. Mutarelli E., Omuro A., Adoni T. Hypersexuality following bilateral thalamic infarction: case report // Arq. Neuro-psiquiatr. - 2006. - Vol. 64(1). - P.146-148.][30. National Guidelines, Royal College of Physicians. The Prevention, Diagnosis and Management of Delirium in Older People, 2006.][31. Oldenbeuving A., Kort P., Roks G. Rivastigmine for the Treatment of Delirium - A Review // Europeancriticalcare &Emergencymedicine.][32. Oldenbeuving A., Kort P., Jansen B. Algra A., et al. Delirium in the acute phase after stroke: Incidence, risk factors, and outcome // Neurology. - 2011. - Vol.76 - P. 993- 999.][33. Platt M., Breitbart W., Smith M., et al. Efficacy of neuroleptics for hypoactive delirium // J. of Neuropsych. and Cl. Neuroscien. - 1994 - Vol. 6. - P. 66-67.][34. Robinson R., Starkstein S. Neuropsychiatric aspects of cerebrovascular disorders, in The American Psychiatric Press Textbook of Neuropsychiatry. Edited by Hales RE, Yudofsky S.C. Washington DC, American Psychiatric Press, 1997. - P. 607-633.][35. Robinson R., Boston J., Starkstein S., Price T. Comparison of mania and depression after brain injury: causal factors // Am. J. Psychiatry. - 1988 - V 145. - P.172-178][36. Robinson R., Kubos K., Starr L., Rao K. et al. Mood disorders in stroke patients: importance of location of lesion // Brain. - 1984. - Vol. 107. - P.81-93][37. Schmahmann J. Vascular syndromes of the thalamus // Stroke. - 2003. - Vol.34. - P. 2264-2278.][38. Sheng A., Shen Q., Cordato D. et al. Delirium within three days of stroke in a cohort of elderly patients // J.AGS. - 2006. - Vol. 54. - P. 1192-1198.][39. Sinanovic O. Neuropsychology of acute stroke // Psychiatr. Danub. - 2010. - Vol.22. - P. 278-281.][40. Starkstein S., Boston J., Robinson R. Mechanisms of mania after brain injury: 12 case reports and a review of the literature // J. Nerv. Ment. Dis. - 1988. - Vol. 176. - P. 87-100.][41. Starkstein S., Robinson R., Price T. Comparison of cortical and subcortical lesions in the production of post-stroke depression matched for size and location of lesions // Arch. Gen. Psychiatry. - 1988. - Vol. 45. - P. 247-252.][42. Starkstein S. , Fedoroff J., Price T., Leiguarda R. et al. Catastrophic reaction after cerebrovascular lesions: frequency, correlates, and validation of a scale // J. Neuropsychiatry Clin. Neurosci. - 1993. - Vol. 5. - P.189-194.]