[Pseudobulbar affect in stroke patients in Argentina]. / Síndrome pseudobulbar en pacientes con accidente cerebrovascular en Argentina.
Vertex
; XXX(148): 1-5, 2020 04.
Article
em Es
| MEDLINE
| ID: mdl-33890929
ABSTRACT
BACKGROUND:
Pseudobulbar affect is defined by involuntary or exaggerated episodes of laughter or crying, subsequent to a specific disease. After-stroke pseudobulbar affect is reported in 11%-34% of patients. In our population is underdiagnosed. Our objective was to determine its frequency in a group of stroke patients. PATIENTS ANDMETHODS:
Prospective observational study from June/2017 to June/2018. Two populations were evaluated chronic stroke (Group A) and acute stroke (Group B). Patients with severe psychiatric illness, cognitive impairment and/or aphasia were excluded. PLACS ("pathological laughing and crying scale") and CNS-LS ("lability scale for pseudobulbar affect") scales were performed. Pseudobulbar affect was defined with diagnostic criteria plus both positive scales.RESULTS:
Fifty patients were evaluated. Sixty-eight percent were men. Mean age 65±12 years. Group A 19 cases and group B 31 cases. Positive PLACS 21% group A and 29% group B. Positive CNS-LS 58% group A and 26% group B. Both positive scales in 8 patients (2 in group A and 6 in group B). Three of them had associated depression.CONCLUSIONS:
Pseudobulbar affect should be screened after stroke. Post-stroke depression is frequent and differential diagnose with emotional lability attributable to pseudobulbar affect must be ruled out. The administration of a single scale would not be sufficient for diagnostic guidance.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Acidente Vascular Cerebral
/
Choro
/
Sintomas Afetivos
/
Riso
Tipo de estudo:
Guideline
/
Observational_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
País como assunto:
America do sul
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Argentina
Idioma:
Es
Ano de publicação:
2020
Tipo de documento:
Article