![]() | Only 14 pages are availabe for public view |
Abstract Over the last 50 years there has been a steady decline in stroke incidence and mortality. Improved control of hypertension and acute management of stroke patients are important factors contributing to this decline. . Also, although stroke ranks in the top three leading causes of death , accounting for 150,000 fatalities per year, a population of around 3 million stroke survivors exists at any given time. Of the survivors, two-thirds have some degree of permanent disability that requires rehabilitation care. Recent studies have concluded that neuropsychiatric complications (i.e., emotional, behavioral, and cognitive disorders) may have a negative effect not only on the social functioning and overall quality of life of stroke survivors, but also on the recovery of their motor functioning.We aimed in our study to review the most important and common post stroke neuropsychiatric complications ,the clinical presentation , etiopathology ,how to diagnose and treat them. The commenst one is post stroke depression as it occures in 10-60% of stroke patients . Other post stroke psychiatric disorders are likely to occur but in lesser frequency than PSD. These disorders are mania 1%, personality changes, anxiety 20-25%, psychosis rare, sexual dysfunction 27-33% and cognitive impairment 30-35%. Different studies suggest bio-psycho-social model for the etiology of PSD and other disorders. Methods for diagnosis are available , Also effective treatments exist (pharmacological , psychotheraby , behavioral therapy and electroconvulsive theraby) but underutilized. this is an important example of an evidence-practice gap to which increased efforts to improve care should be made. Such efforts would likely improve not only patient symptoms but may also decrease stroke risk, influence stroke functional recovery, decrease mortality, and reduce poststroke health care utilization. |