Title |
The role of the right inferior frontal gyrus in the pathogenesis of post-stroke psychosis
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Published in |
Journal of Neurology, January 2014
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DOI | 10.1007/s00415-014-7242-x |
Pubmed ID | |
Authors |
Michael J. Devine, Paul Bentley, Brynmor Jones, Gary Hotton, Richard J. Greenwood, I. Harri Jenkins, Eileen M. Joyce, Paresh A. Malhotra |
Abstract |
Psychotic symptoms have previously been reported following right hemisphere brain injury. We sought to identify the specific neuroanatomical basis of delusions following stroke by studying a series of patients with post-stroke psychosis. Lesion overlap analysis was conducted on three individuals with delusions following right hemisphere stroke. These cases were compared with a control group of patients with similar anatomical damage. The main outcome measures were presence of delusions and presence of behavioural susceptibility. The right inferior frontal gyrus and underlying white matter, including the superior longitudinal fasciculus and anterior corona radiata, were involved in all three cases. All three had a preexisting untreated psychiatric disorder. In contrast, only one of nine control cases with equivalent lesions had evidence of previous psychiatric disorder (p = 0.0182, Fisher's exact test), and this was being treated at the time of stroke. We provide clinical evidence from patients with structural brain lesions implicating damage to the right inferior frontal lobe in the generation of persistent psychosis following stroke. We suggest that preexisting psychiatric disease provided a behavioural susceptibility to develop delusions in these individuals. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 33% |
United Kingdom | 1 | 33% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
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Scientists | 2 | 67% |
Members of the public | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 65 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 13 | 20% |
Student > Bachelor | 8 | 12% |
Student > Master | 6 | 9% |
Other | 4 | 6% |
Student > Doctoral Student | 4 | 6% |
Other | 15 | 23% |
Unknown | 15 | 23% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 18 | 28% |
Neuroscience | 10 | 15% |
Psychology | 9 | 14% |
Computer Science | 2 | 3% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 3% |
Other | 4 | 6% |
Unknown | 20 | 31% |