The Clinical Neuropsychiatry of Stroke: Cognitive, Behavioral and Emotional Disorders following Vascular Brain Injury / Edition 2

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This second edition, published in 2006, covers the range of neuropsychiatric syndromes associated with stroke, including cognitive, emotional and behavioural disorders such as depression, anxiety and psychosis. There is growing recognition among a wide range of clinicians and allied healthcare staff that post-stroke neuropsychiatric syndromes are common and serious. Such complications can have a negative impact on recovery and even survival; however, there is now evidence suggesting that pre-emptive therapeutic intervention in high-risk patient groups can prevent the initial onset of the conditions. This opportunity for primary prevention marks a huge advance in the management of this patient population.

The book contains black-and-white illustrations.

This book surveys a wide range of post-stroke emotional and behavioral disorders, integrating the author's unrivaled body of research with clinical and research findings from centers around the world. At the heart of this book are the studies of the author and his coworkers involving more than 700 patients with stroke studied over 20 years. Psychosocial and neurobiological mechanisms for these disorders are considered, as are their demographic and clinical-pathological correlates and treatment recommendations. The author cites case histories throughout to illustrate the clinical and neurobiological principles, and he includes relevant rating scales. Information in this compendious survey will benefit all healthcare professionals who care for patients with stroke, and through them, stroke patients themselves.

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Editorial Reviews

From the Publisher
"This is the second edition of the most important book on the neuropsychiatric consequences of vascular brain disease. Written and edited by the leading and internationally recognized clinician-researcher on post-stroke psychiatric disorders, this book remains essential reading for all physicians who treat stroke patients."
Michael J. Schrift, University of Illinois at Chicago College of Medicine
Doody's Review Service
Reviewer: Michael Joel Schrift, DO, MA (University of Illinois at Chicago College of Medicine)
Description: This is the second edition of this most important book on the neuropsychiatric consequences of vascular brain disease. Written and edited by the leading and internationally recognized clinician-researcher on post-stroke psychiatric disorders, this book remains essential reading for all physicians who treat stroke patients.
Purpose: The purpose of this edition is to update for the clinician the body of research on stroke related neuropsychiatric disorders that has significantly improved the knowledge base in the seven years since the first edition, specifically in terms of understanding the pathophysiology, prevention, and treatment.
Audience: The intended audience includes any physician who attends patients who have suffered a stroke. This includes physicians in the fields of family medicine, internal medicine, geriatrics, neurology, and psychiatry. This book is required reading for all behavioral neurologists/neuropsychiatrists as well as fellows in behavioral neurology/neuropsychiatry training.
Features: The first of the book's five parts focuses on epidemiology, the history of the understanding of stroke related neuropsychiatric disorders, emotion brain processing, and anatomy/stroke classification. Post-stroke depression, post-stroke mania, post-stroke anxiety disorders are covered in parts 2, 3, and 4 respectively. Part 5 covers other common post-stroke neuropsychiatric complications: psychosis, anosognosia, the catastrophic reaction, apathy, the aprosodias, irritability/aggression, and pathological emotions.
Assessment: This updated edition remains an authoritative review of the field and is a significant contribution to the effort to improve the outcome of the tremendous number of individuals suffering from this all too frequent problem.
Michael J. Schrift
This excellent book covers the cognitive, behavioral, and emotional phenomena following a vascular brain insult. Written and edited by an internationally recognized expert in the field, it is a valuable contribution to psychiatry, neurology, neuropsychiatry, and geriatric psychiatry. The purpose of the book, according to the editor, ""... is to provide a forum for a detailed account of the many studies that we have conducted in the field of post-stroke emotional disorders."" The intended audience is psychiatrists, neurologists, physiatrists, physical therapists, occupational therapists, speech therapists, social workers, and nurses who care for patients with stroke. Topics covered include post-stroke depression, post-stroke mania, post-stroke anxiety disorders, as well as discussions on such interesting and important issues as schizophrenia-like psychosis, anosognosia, prosody, and pathological laughing and crying. Each chapter ends with relevant and up to date references. This is a valuable and comprehensive new book, summarizing the state of the art in post-stroke neuropsychiatric disorders. Any clinician or researcher who works in the area of stroke should read and refer to this book.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780521840071
  • Publisher: Cambridge University Press
  • Publication date: 1/31/2006
  • Edition description: Revised
  • Edition number: 2
  • Pages: 480
  • Product dimensions: 6.85 (w) x 9.72 (h) x 1.02 (d)

Meet the Author

Robert Robinson is Paul W. Penningroth Professor and Head, Department of Psychiatry, Roy J. and Lucille A. Carver College of Medicine, The University of Iowa.

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Table of Contents

1. Recent trends in the epidemiology of stroke; 2. Historical perspective; 3. Brain organization and cerebral basis of emotion; 4. Vascular anatomy and classification of stroke; 5. Diagnosis of depression; 6. Prevalence of depressive disorders; 7. Phenomenology and specificity of depressive disorders; 8. Natural course of depression; 9. Delayed-onset depression (proofed); 10. Relationship to lesion location; 11. Relationship of depression to cerebral dominance and structural asymmetries; 12. Relationship of depression to bilateral hemisphere brain injury; 13. Relationship of depression to physical impairment; 14. Relationship to cognitive impairment and treatment; 15. Relationship of aphasia to depression; 16. Relationship of depression to social functioning; 17. Relationship to premorbid risk factors; 18. Mortality and treatment; 19. Suicidal thoughts and plans; 20. Biological markers; 21. Mechanisms of poststroke depression; 22. Treatment of poststroke depression; 23. Prevention of poststroke depression; 24. Prevalence and clinical symptoms; 25. Clinical and lesion correlates of poststroke mania; 26. Bipolar disorder following stroke; 27. Mechanism of mania following stroke; 28. Treatment of mania following stroke; 29. Prevalence and specificity of clinical symptoms; 30. Clinical and lesion correlates; 31. Longitudinal course; 32. Relationship of anxiety to outcome; 33. Mechanism and treatment of poststroke anxiety disorder; 34. Psychosis; 35. Anosognosia and denial of illness; 36. Catastrophic reaction; 37. Apathy; 38. Disturbance of prosody; 39. Irritability and aggression; 40. Pathological laughing and crying; 41. Summary and future directions.
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