David L. Perez
Brigham and Women's Hospital, Departments of Neurology and Psychiatry,
75 Francis Street, Boston, MA 02115
Tanzania
Research Article
Confusion, Hyperactive Delirium, and Secondary Mania in Right Hemispheric Strokes: A Focused Review of Neuroanatomical Correlates
Author(s): David L. Perez, Eva Catenaccio and Jane EpsteinDavid L. Perez, Eva Catenaccio and Jane Epstein
Affective and behavioral neuropsychiatric disturbances are frequently encountered in post-stroke patients. While the neural correlates of conditions such as post-stroke depression and apathy have been well investigated, confusion, hyperactive delirium, and secondary mania are less well detailed. In This article, a case of right hemispheric stroke presenting with acute confusion and agitation is described to introduce the topic, followed by a focused review of the post-stroke right hemispheric lesional correlates of non-agitated confusion, hyperactive delirium, and secondary mania. These three post-stroke syndromes have both overlapping and non-overlapping structural components. Non-agitated confusional states may preferentially involve higher order perceptual/attentional association cortices (parietal, occipital, prefrontal) and related subcortical connections. Right hemispheric post-.. View More»
