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 Volume 57, Number 10, November 27, 2001
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Neurology 2001;57:1902-1905
© 2001 American Academy of Neurology
Brief Communications

Catastrophic reaction in acute stroke: A reflex behavior in aphasic patients

Antonio Carota, MD, Andrea O. Rossetti, MD, Theodoros Karapanayiotides, MD and Julien Bogousslavsky, MD

From the Department of Neurology, CHUV, Lausanne, Switzerland.

Address correspondence and reprint requests to Dr. A. Carota, Department of Neurology, CHUV, CH-1011-Lausanne, Switzerland; e-mail: AntCar{at}swissonline.ch

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.




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