Clinical Challenges in the Treatment of Post-Stroke Psychosis
Abstract
Background: Nearly 5% of patients with stroke present psychotic symptoms but there are no specific guidelines for their management and treatment.
Aims: To report the therapeutic approach of a case of post-stroke psychosis, which required several adjustments due to symptom resistance and adverse effects.
Methods: We describe in detail the clinical findings with emphasis on the psychiatric symptoms and highlight some challenges in the psychopharmacological approach. Additionally, a literature review on the theme was performed.
Results and Conclusions: We report the case of a 79 year-old patient with post-stroke psychosis presented as Othello Syndrome. Clinical stability was achieved with a combination of low dose antipsychotics and valproic acid.
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