Friday, 16 June 2017

Behavioral Dysexecutive Syndrome after Stroke

Dysexecutive syndrome (DES) is defined as an impairment of executive functions constituting of two domains: behavioral dysexecutive syndrome (BDES) and cognitive dysexcutive syndrome (CDES) which are not accompanied always. A growing body of studies demonstrated that BDES is a common post-stroke neuropsychiatric comorbidity. The prevalence of BDES instroke survivors varies ranging from 3% to 25% possibly attributed to the lackof standardized diagnosis methods and variances in study sample and study mode.

Stroke
Post-stroke BDES comprises varieties of clinical presentations, the most prevalent of which are anosognosia and hypo activity with apathy-abulia. The clinical course of BDES in stroke population has not yet fully elucidated. Some studies showed that there was only a minor decrease of prevalence of BDES several months after stroke, suggesting the possible chronicity of BDES. Possible clinical correlates of behavioral symptoms in stroke are global cognitive impairment, executive dysfunction, premorbid personality and psychopathology and stroke severity.


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