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. 2017 Nov;38(6):380-382.
doi: 10.4082/kjfm.2017.38.6.380. Epub 2017 Nov 14.

A Brief Psychotic Episode with Depressive Symptoms in Silent Right Frontal Lobe Infarct

Salziyan Badrin  1 , Noraini Mohamad  2 , Nor Akma Yunus  1 , Maryam Mohd Zulkifli  1
Affiliations

A Brief Psychotic Episode with Depressive Symptoms in Silent Right Frontal Lobe Infarct

Salziyan Badrin et al. Korean J Fam Med. 2017 Nov.

Abstract

Psychiatric symptoms may be related to a silent cerebral infarct, a phenomenon that has been described previously in literature. Acute psychosis or other neuropsychiatric symptoms including depression may present in stroke patients and patients with lesions either within the prefrontal or occipital cortices, or in subcortical areas such as the basal ganglia, thalamus, mid-brain, and brainstem. Psychosis in clinical stroke or in silent cerebral infarction is uncommon and not well documented in the literature. Neurological deficits are the most common presentation in stroke, and nearly a third of patients that suffer a stroke may experience psychological disorders such as depression and anxiety, related to physical disability. The present case report describes an elderly female patient who presented with hallucinations and depressive symptoms, and was discovered to have a recent right frontal brain infarction, without other significant neurological deficits.

Keywords: Aged; Depression; Psychotic Disorders; Stroke; Stroke Manifestations.

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Conflict of interest statement

CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1. Computed tomography scan of the brain showing the recent infarction at the right frontal region (arrow).
Figure 2
Figure 2. (A, B) Computed tomography scans of the brain showing multiple, well-defined hypodensities at the right centrum semiovale and the left lentiform nucleus (old infarction, arrow).
See this image and copyright information in PMC

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