Posterior Circulation Stroke –presenting as Psychotic disorder
The prevalence of posterior circulation stroke is less reported compared to anterior circulation stroke, accounting for one fourth of all ischemic strokes. It commonly presents with neurological deficits like visual deficits, vertigo and sensory-motor deficits rather than merely psychiatric symptoms. Nonetheless, there could be comorbid psychiatric symptoms associated with it. A rare presentation of posterior circulation stroke presenting with psychosis as a primary symptom without any neurological deficit is discussed.
Nouh A, Remke J, Ruland S. Ischemic Posterior Circulation Stroke: A Review of Anatomy, Clinical Presentations, Diagnosis, and Current Management.Front Neurol. 2014;5:30
Stangeland H, Orgeta V, Bell V. Poststroke psychosis: a systematic review.J Neurol Neurosurg Psychiatry.2018;89(8):879-85.
Kumral E, Oztürk O. Delusional state following acute stroke.Neurology.2004;62(1):110-13.
Butler C, Zeman A. Neurological syndromes which can be mistaken for psychiatric conditions.J Neurol Neurosurg Psychiatry. 2005;76(Suppl 1):i31-i38.
Bielawski M, Bondurant H. Psychosis following a stroke to the cerebellum and midbrain: a case report.Cerebellum and Ataxias. 2015;2:17
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