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From the Department of Neurology (Drs. Kim, Kwon, and Y.S. Seo), University of Ulsan, Asan Medical Center, and the Department of Nursing (Dr. Choi), Seoul National University, Korea.
Address correspondence and reprint requests to Dr. Jong S. Kim, Department of Neurology, Asan Medical Center, Song-pa P.O. Box 145, Seoul 138-600, Korea; e-mail: jongskim{at}www.amc.seoul.kr
Using the 10-item Spielberger Trait Anger Scale, the authors interviewed 145 patients with stroke regarding inability to control anger or aggression (ICAA). Poststroke depression and emotional incontinence were also assessed. ICAA was present in 47 patients (32%) and was closely related to motor dysfunction, dysarthria, emotional incontinence, and lesions affecting frontallenticulocapsularpontine base areas. ICAA seems to be one of the major behavioral symptoms in patients with stroke.
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