TY - JOUR
T1 - Pathoanatomic correlation between poststroke pathological crying and damage to brain areas involved in serotonergic neurotransmission
AU - Andersen, Grethe
AU - Ingeman-Nielsen, Margrethe
AU - Vestergaard, Karsten
AU - Riis, Jens O.
PY - 1994/5
Y1 - 1994/5
N2 - Background and Purpose: The aim of the study was to correlate the severity of poststroke pathological crying with lesion size and location. Methods Twelve selected stroke patients were ranked in terms of overall clinical severity of the syndrome of pathological crying, and the size and location of the stroke lesion(s) were determined by magnetic resonance imaging. Results The patients with the clinically most severe pathological crying had relatively large bilateral pontine lesions without lesions in the hemispheres. The intermediate group had bilateral central hemispheric lesions, and the clinically least affected patients had mainly unilateral large subcortical lesions. Conclusions Poststroke pathological crying may be attributable to stroke-induced partial destruction of the serotonergic raphe nuclei in the brain stem or their ascending projections to the hemispheres.
AB - Background and Purpose: The aim of the study was to correlate the severity of poststroke pathological crying with lesion size and location. Methods Twelve selected stroke patients were ranked in terms of overall clinical severity of the syndrome of pathological crying, and the size and location of the stroke lesion(s) were determined by magnetic resonance imaging. Results The patients with the clinically most severe pathological crying had relatively large bilateral pontine lesions without lesions in the hemispheres. The intermediate group had bilateral central hemispheric lesions, and the clinically least affected patients had mainly unilateral large subcortical lesions. Conclusions Poststroke pathological crying may be attributable to stroke-induced partial destruction of the serotonergic raphe nuclei in the brain stem or their ascending projections to the hemispheres.
KW - Brain stem
KW - Cerebrovascular disorders
KW - Citalopram
KW - Crying
KW - Magnetic resonance imaging
UR - http://www.scopus.com/inward/record.url?scp=0028203285&partnerID=8YFLogxK
U2 - 10.1161/01.STR.25.5.1050
DO - 10.1161/01.STR.25.5.1050
M3 - Journal article
C2 - 7818634
AN - SCOPUS:0028203285
SN - 0039-2499
VL - 25
SP - 1050
EP - 1052
JO - Stroke
JF - Stroke
IS - 5
ER -