Author Affiliation: Dr Robinson is the Paul W. Penningroth Professor and Head of the Department of Psychiatry, The University of Iowa College of Medicine, Iowa City.
Clinical Crossroads Section Editor: Margaret
A. Winker, MD, Deputy Editor.
DR AUDET: Mrs K is an 82-year-old woman who
experienced changes in her mood and behavior 2 months after a thrombotic stroke.
She has lived in a long-term care facility for the past 2 years. She is retired,
has separated from her husband, and until this recent event, enjoyed participating
in frequent visits from her children. Her insurance is through Medicare.
Mrs K has cerebrovascular disease characterized by mild multi-infarct
dementia. Until her recent stroke, she had some memory loss, but no restrictions
in her usual activities of daily living.
Robinson RG. An 82-Year-Old Woman With Mood Changes Following a Stroke. JAMA. 2000;283(12):1607-1614. doi:10.1001/jama.283.12.1607