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Published Online: 6 October 2016

Location of Acute Infarcts and Agitation and Aggression in Stroke

Wai Kwong Tang, M.D., Ph.D., Xiang Xin Liu, M.D., M.Phil., Huajun Liang, M.D., Ph.D., Yang Kun Chen, M.D., Ph.D., Winnie Chiu Wing Chu, M.D., Anil T. Ahuja, M.D., Jill Abrigo, M.D., Vincent Chung Tong Mok, M.D., Gabor S. Ungvari, M.D., Ph.D., Ka Sing Wong, M.D., and Gianfranco Spalletta, Ph.D.Authors Info & Affiliations
Publication: The Journal of Neuropsychiatry and Clinical Neurosciences
Volume 29, Number 2
https://doi.org/10.1176/appi.neuropsych.15110400
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Abstract

The role of the infarct location in the development of poststroke agitation (PSA) is largely unknown. This study examined the association between the locations of infarcts and PSA at 9 months following the index stroke in 213 patients with the Chinese version of the Neuropsychiatric Inventory. Compared with the non-PSA group, PSA patients had a higher number and volume of acute pontine infarcts. Ventral pontine and lateral cerebellar infarcts were independent predictors of PSA in the multivariate analysis.

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Information & Authors

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Published In

Go to The Journal of Neuropsychiatry and Clinical Neurosciences
Go to The Journal of Neuropsychiatry and Clinical Neurosciences
The Journal of Neuropsychiatry and Clinical Neurosciences
Volume 29 • Number 2 • Spring 2017
Pages: 172 - 178
PubMed: 27707197

History

Received: 30 November 2015
Revision received: 1 April 2016
Revision received: 10 May 2016
Revision received: 31 May 2016
Accepted: 3 June 2016
Published online: 6 October 2016
Published in print: Spring 2017

Keywords

  1. Cerebellar Disorders
  2. Mental Status Assessment
  3. Stroke and Other Cerebral Vascular Disease (Neuropsychiatric Aspects)

Authors

Details

Wai Kwong Tang, M.D., Ph.D.
From the Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China (WKT, XXL, HJL); the Department of Neurology, Dongguan People’s Hospital, Dongguan, Guangdong Province, P.R. China (YKC); the Department of Imaging & Interventional Radiology, Chinese University of Hong Kong, Hong Kong SAR, China (WCWC, ATA, JA); the Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China (VCTM, KSW); the University of Notre Dame Australia/Marian Centre, Perth, Australia and School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia (GSU); and the Neuropsychiatry Laboratory, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Via Ardeatina, Rome, Italy (GS).
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Xiang Xin Liu, M.D., M.Phil.
From the Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China (WKT, XXL, HJL); the Department of Neurology, Dongguan People’s Hospital, Dongguan, Guangdong Province, P.R. China (YKC); the Department of Imaging & Interventional Radiology, Chinese University of Hong Kong, Hong Kong SAR, China (WCWC, ATA, JA); the Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China (VCTM, KSW); the University of Notre Dame Australia/Marian Centre, Perth, Australia and School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia (GSU); and the Neuropsychiatry Laboratory, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Via Ardeatina, Rome, Italy (GS).
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Huajun Liang, M.D., Ph.D.
From the Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China (WKT, XXL, HJL); the Department of Neurology, Dongguan People’s Hospital, Dongguan, Guangdong Province, P.R. China (YKC); the Department of Imaging & Interventional Radiology, Chinese University of Hong Kong, Hong Kong SAR, China (WCWC, ATA, JA); the Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China (VCTM, KSW); the University of Notre Dame Australia/Marian Centre, Perth, Australia and School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia (GSU); and the Neuropsychiatry Laboratory, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Via Ardeatina, Rome, Italy (GS).
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Yang Kun Chen, M.D., Ph.D.
From the Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China (WKT, XXL, HJL); the Department of Neurology, Dongguan People’s Hospital, Dongguan, Guangdong Province, P.R. China (YKC); the Department of Imaging & Interventional Radiology, Chinese University of Hong Kong, Hong Kong SAR, China (WCWC, ATA, JA); the Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China (VCTM, KSW); the University of Notre Dame Australia/Marian Centre, Perth, Australia and School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia (GSU); and the Neuropsychiatry Laboratory, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Via Ardeatina, Rome, Italy (GS).
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Winnie Chiu Wing Chu, M.D.
From the Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China (WKT, XXL, HJL); the Department of Neurology, Dongguan People’s Hospital, Dongguan, Guangdong Province, P.R. China (YKC); the Department of Imaging & Interventional Radiology, Chinese University of Hong Kong, Hong Kong SAR, China (WCWC, ATA, JA); the Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China (VCTM, KSW); the University of Notre Dame Australia/Marian Centre, Perth, Australia and School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia (GSU); and the Neuropsychiatry Laboratory, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Via Ardeatina, Rome, Italy (GS).
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Anil T. Ahuja, M.D.
From the Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China (WKT, XXL, HJL); the Department of Neurology, Dongguan People’s Hospital, Dongguan, Guangdong Province, P.R. China (YKC); the Department of Imaging & Interventional Radiology, Chinese University of Hong Kong, Hong Kong SAR, China (WCWC, ATA, JA); the Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China (VCTM, KSW); the University of Notre Dame Australia/Marian Centre, Perth, Australia and School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia (GSU); and the Neuropsychiatry Laboratory, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Via Ardeatina, Rome, Italy (GS).
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Jill Abrigo, M.D.
From the Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China (WKT, XXL, HJL); the Department of Neurology, Dongguan People’s Hospital, Dongguan, Guangdong Province, P.R. China (YKC); the Department of Imaging & Interventional Radiology, Chinese University of Hong Kong, Hong Kong SAR, China (WCWC, ATA, JA); the Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China (VCTM, KSW); the University of Notre Dame Australia/Marian Centre, Perth, Australia and School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia (GSU); and the Neuropsychiatry Laboratory, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Via Ardeatina, Rome, Italy (GS).
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Vincent Chung Tong Mok, M.D.
From the Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China (WKT, XXL, HJL); the Department of Neurology, Dongguan People’s Hospital, Dongguan, Guangdong Province, P.R. China (YKC); the Department of Imaging & Interventional Radiology, Chinese University of Hong Kong, Hong Kong SAR, China (WCWC, ATA, JA); the Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China (VCTM, KSW); the University of Notre Dame Australia/Marian Centre, Perth, Australia and School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia (GSU); and the Neuropsychiatry Laboratory, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Via Ardeatina, Rome, Italy (GS).
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Gabor S. Ungvari, M.D., Ph.D.
From the Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China (WKT, XXL, HJL); the Department of Neurology, Dongguan People’s Hospital, Dongguan, Guangdong Province, P.R. China (YKC); the Department of Imaging & Interventional Radiology, Chinese University of Hong Kong, Hong Kong SAR, China (WCWC, ATA, JA); the Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China (VCTM, KSW); the University of Notre Dame Australia/Marian Centre, Perth, Australia and School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia (GSU); and the Neuropsychiatry Laboratory, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Via Ardeatina, Rome, Italy (GS).
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Ka Sing Wong, M.D.
From the Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China (WKT, XXL, HJL); the Department of Neurology, Dongguan People’s Hospital, Dongguan, Guangdong Province, P.R. China (YKC); the Department of Imaging & Interventional Radiology, Chinese University of Hong Kong, Hong Kong SAR, China (WCWC, ATA, JA); the Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China (VCTM, KSW); the University of Notre Dame Australia/Marian Centre, Perth, Australia and School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia (GSU); and the Neuropsychiatry Laboratory, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Via Ardeatina, Rome, Italy (GS).
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Gianfranco Spalletta, Ph.D.
From the Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China (WKT, XXL, HJL); the Department of Neurology, Dongguan People’s Hospital, Dongguan, Guangdong Province, P.R. China (YKC); the Department of Imaging & Interventional Radiology, Chinese University of Hong Kong, Hong Kong SAR, China (WCWC, ATA, JA); the Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong SAR, China (VCTM, KSW); the University of Notre Dame Australia/Marian Centre, Perth, Australia and School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia (GSU); and the Neuropsychiatry Laboratory, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Via Ardeatina, Rome, Italy (GS).
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Notes

Address correspondence to Dr. Tang; e-mail: [email protected]

Funding Information

Research Fund Secretariat of the Hong Kong Special Administrative Region: 08090701
Dr. Tang is supported by the Research Fund Secretariat of the Hong Kong Special Administrative Region (grant reference number: 08090701). All other authors report no financial relationships with commercial interests.

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