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Rounds in the General Hospital: Poststroke Neuropsychiatric Symptoms and Pseudoseizures: A Discussion

Primary Care Companion J Clin Psychiatry 2003;5(2):85-88
10.4088/PCC.v05n0205

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Is it reasonable to assume that just about everyone becomes depressed following a stroke? Which neuropsychiatric manifestations are most readily confused with the signs and symptoms of depression? How can one determine whether unusual convulsive symptoms are manifestations of true seizure activity or psychogenic episodes? Neuropsychiatric sequelae of cerebrovascular accidents (CVAs) are common and varied. The presented case highlights aspects of the neuropsychiatric evaluation of a poststroke patient with mood symptoms and unusual seizure-like activity.‚Äč