The Japanese journal of neuropsychology

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ArticleTitle	Neuropsychiatric Symptoms in Cerebrovascular Disease
Language	J
AuthorList	Masaru Mimura
Affiliation	Department of Neuropsychiatry, Showa University School of Medicine
Publication	Japanese Journal of Neuropsychology: 24 (3), 221-229, 2008
Received
Accepted
Abstract	Cerebrovascular diseases (CVD) may cause various psychiatric symptoms in addition to neuropsychological deficits including aphasia, agnosia, apraxia, amnesia and inattention. Such psychiatric symptoms as a sequel of CVD are classified in the organic mental disorders (F00-F09) according to the International Statistical Classification of Diseases and Related Health Problems, 10^th Revision (ICD-10). Most of psychiatric symptoms secondary to CVD are common to the organic mental disorders regardless of etiology. Post-stroke psychiatric state is typically characterized by more or less impaired consciousness, which may dissolve in the course of the disease. Otherwise, cognitive and behavioral deficits may progress to vascular dementia. In this review, common features and a course of a psychiatric sequel following CVD was first outlined. Then, characteristic psychiatric symptoms frequently observed in clinical practice were overviewed. These include hallucination, delusion, confabulation, personal misidentification, personality change and affective and mood problems.
Keywords	psychotic symptom, hallucination, delusion, post-stroke depression, vascular dementia