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

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This book surveys a wide range of post-stroke emotional and behavioral disorders, integrating the author's unrivalled body of research with clinical and research findings from centers around the world. Psychosocial and neurobiological mechanisms for these disorders are considered, as are their demographic and clinical-pathological correlates, and treatment recommendations. Case histories are used throughout to illustrate the clinical and neurobiological principles, and relevant rating scales are included.

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

Doody's Review Service
Reviewer: Michael Joel Schrift, D.O., M.A.(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 3
2 Historical perspective 9
3 Brain organization and cerebral basis of emotion 17
4 Vascular anatomy and classification of stroke 27
5 Diagnosis of depression 41
6 Prevalence of depressive disorders 52
7 Phenomenology and specificity of depressive symptoms 60
8 Natural course of depression 75
9 Delayed-onset depression 82
10 Relationship to lesion location 87
11 Relationship of depression to cerebral dominance and structural asymmetries 111
12 Relationship of depression to bilateral hemisphere brain injury 120
13 Relationship of depression to physical impairment 125
14 Relationship to cognitive impairment and treatment 148
15 Relationship of aphasia to depression 171
16 Relationship of depression to social functioning 179
17 Relationship to premorbid risk factors 194
18 Mortality and treatment 207
19 Suicidal thoughts and plans 219
20 Biological markers 228
21 Mechanisms of poststroke depression 237
22 Treatment of poststroke depression 251
23 Prevention of poststroke depression 271
24 Prevalence and clinical symptoms 283
25 Clinical and lesion correlates of poststroke mania 288
26 Bipolar disorder following stroke 300
27 Mechanism of mania following stroke 306
28 Treatment of mania following stroke 314
29 Prevalence and specificity of clinical symptoms 319
30 Clinical and lesion correlates 326
31 Longitudinal course 334
32 Relationship of anxiety to outcome 341
33 Mechanism and treatment of poststroke anxiety disorder 347
34 Psychosis 357
35 Anosognosia and denial of illness 366
36 Catastrophic reaction 383
37 Apathy 392
38 Disturbance of prosody 403
39 Irritability and aggression 414
40 Pathological laughing and crying 429
41 Summary and future directions 447
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