Posterior Circulation Stroke presenting as Psychotic disorder

Dilshana Nafisa; K Priya Nayak; Safeekh A T

doi:10.30834/KJP.32.1.2019.162

Authors

Dilshana Nafisa Senior Resident , Yenepoya Medical college ,Mangalore
K Priya Nayak Assistant Professor , Father Muller Medical College , Mangalore
Safeekh A T Dr. Safeekh A.T , Professor and HOD , Father Muller Medical College , Mangalore

DOI:

https://doi.org/10.30834/KJP.32.1.2019.162

Keywords:

posterior circulation stroke, psychosis, ischemic stroke.

Abstract

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.

References

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, OztÃ¼rk 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