Clinical features of post stroke apathy
Petrova, E.A.; Ponevezhskaia, E.V.; Savina, M.A.; Skvortsova, V.I.
Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova 112(12 Part 2): 15-19
2012
ISSN/ISBN: 1997-7298 PMID: 23388601 Document Number: 662407
An aim of the study was to evaluate clinical features and risk factors of post stroke apathy. The study included 209 patients with first-time stroke. Assessments of neurological and mental status were carried out on the 1st, 7th day, after 2 weeks, 1 month, 3, 6 and 12 months after stroke. The frequency of apathy was 28.2%. Three types of apathy were singled out: classical, depressive, and combined. Apathy was significantly associated with the older age of patients, right-sided brain lesion and worst recovery of neurological deficit. Patients with depressive apathy were significantly older than patients without apathy, classic apathy was more common in men, and depressive apathy - in women. Depressive apathy was significantly associated with small lesions, while classic or combined apathy was significantly associated with the average volume of lesions.