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Revista chilena de neuro-psiquiatría

versión On-line ISSN 0717-9227

Resumen

LUNA-MATOS, Matilde; MCGRATH, Harold  y  GAVIRIA, Moisés. Neuropsychiatric manifestations in cerebrovascular diseases. Rev. chil. neuro-psiquiatr. [online]. 2007, vol.45, n.2, pp.129-140. ISSN 0717-9227.  http://dx.doi.org/10.4067/S0717-92272007000200006.

Background: Neuropsychiatric manifestations could occur following a cerebrovascular disease, the present review shows the advantages and update concepts which helps to the diagnostic, treatment and research. Method: we searched four electronic database (Medline, EBSCO, ProQuest, Ovid) using the terms in relation with neuropsychiatric manifestations in cerebrovascular disease. Discussion: The present review shows the different neuropsychiatric manifestations which could be occur following Cerebrovascular Lesions, like depression, mania, apathy, anxiety, psychosis, etc. Recently the term of Involuntary Emotional Expression Disorder has been proposed to unifying terms like pathological laughing and crying, pathological weeping, emotional or affective lability, emotionalism, emotional incontinence, pathologic emotionality or affect, and emotional dyscontrol, terms which are used to describe the same pathology. Also, the term vascular cognitive impairment has been proposed to include the broad spectrum of cognitive and behavioural changes associated with cerebrovascular lesions without dementia. In addition, there are special attention to the study and instrumentalization of the executive functions, theory of mind and empathy, concepts that describe abilities properly human, which also are deteriorated. Conclusions: The neuropsychiatric symptoms cause significant problems in the rehabilitation process, deterioration in patient's quality of life, creating institutionalization and adding greater emotional and economy load to the people in charge of the patient's care

Palabras clave : Cerebrovascular disease; cognitive; behavior; vascular; neuropsychiatric manifestations.

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