Catastrophic reaction in acute stroke: a reflex behavior in aphasic patients.
prospective_cohort · Level II
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Abstract
Twelve patients with a catastrophic reaction (CR) (an outburst of frustration, depression, and anger when confronted with a task) were identified in a prospective cohort population (n = 326) with first-ever stroke admitted within 48 hours from onset. The authors' findings suggest that CR is a rare though not exceptional phenomenon in acute stroke and is associated with nonfluent aphasias and left opercular lesions. CR, poststroke depression, and emotionalism are distinct but related disorders.
Medical subject headings
- Aphasia
- Cerebral Hemorrhage
- Cerebral Infarction
- Depression
- Frustration
- Hostility
- Intracranial Embolism
- Reflex, Abnormal