Emotional incontinence and executive function in ischemic stroke: A case-controlled study

Frontal and basal ganglia infarcts and executive dysfunction are thought to be involved in the pathophysiology of poststroke emotional incontinence (PSEI). The study examined whether patients with PSEI have more frontal and/or basal ganglia infarcts and impairment in executive function. A total of 5...

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Bibliographic Details
Published in:Journal of the International Neuropsychological Society 2009-01, Vol.15 (1), p.62-68
Main Authors: TANG, W.K., CHEN, YANGKUN, LAM, WYNNIE W.M., MOK, VINCENT, WONG, ADRIAN, UNGVARI, GABOR S., XIANG, Y.T., WONG, KA SING
Format: Article
Language:English
Subjects:
Affective symptoms
Affective Symptoms - etiology
Affective Symptoms - psychology
Aged
Basal Ganglia Cerebrovascular Disease - complications
Basal Ganglia Cerebrovascular Disease - psychology
Case-Control Studies
Cerebral Infarction - complications
Cerebral Infarction - pathology
Cerebral Infarction - psychology
Cerebrovascular disorders
Crying
Depression
Emotions
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Neuropsychology
Neuroses
Psychometrics
Psychomotor Performance - physiology
Stroke
Stroke - complications
Stroke - psychology
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Summary:Frontal and basal ganglia infarcts and executive dysfunction are thought to be involved in the pathophysiology of poststroke emotional incontinence (PSEI). The study examined whether patients with PSEI have more frontal and/or basal ganglia infarcts and impairment in executive function. A total of 516 Chinese patients with acute ischemic stroke consecutively admitted to the acute stroke unit of a university-affiliated regional hospital in Hong Kong were screened for PSEI 3 months after the index stroke. According to Kim’s criteria, 39 (7.6%) had PSEI. Thirty-nine stroke patients without PSEI served as matched control group. The PSEI group had significantly more frontal and/or basal ganglia infarcts, had lower Chinese Frontal Assessment Battery scores, required more time to complete the Stroop Test, and made more omission and commission errors in the Go–NoGo test. There was no significant correlation between frontal or basal ganglia infarcts and executive function. The correlation between frontal infarct and severity of PSEI was .420. Further follow-up and functional imaging studies are warranted to explore the relationship between PSEI, brain infarcts, and executive dysfunction. (JINS, 2009, 15, 62–68.)
ISSN:1355-6177
1469-7661
DOI:10.1017/S1355617708090061