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Clinical Crossroads
March 22/29, 2000

An 82-Year-Old Woman With Mood Changes Following a Stroke

Author Affiliations

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.

JAMA. 2000;283(12):1607-1614. doi:10.1001/jama.283.12.1607

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.

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