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Post-thalamic stroke apathy, a review and case report

Published online by Cambridge University Press:  23 March 2020

C. Nuñez Sande ,
T.M. Torres Rincon  and
J.L. Fernández Hierro
C. Nuñez Sande*
Affiliation:
Servicio de Psiquiatría XXIV Vigo, Servicio de Psiquiatría XXIV Vigo, Vigo, Spain
T.M. Torres Rincon
Affiliation:
Servicio de psiquiatría XXIV Vigo, Servicio de psiquiatría XXIV, Vigo, Spain
J.L. Fernández Hierro
Affiliation:
Servicio de Psiquiatría XXIV Vigo, Unidad de Hospitalización Psiquiátrica, Vigo, Spain
*
* Corresponding author.

Abstract

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Introduction

Apathy is commonly defined as lack of, or diminished, emotion, interest, concern, interest and motivation manifesting as poor engagement with others and loss of pleasure in usual interests. Occurs in various medical condition (stroke, HIV, dementia and Parkinson disease) and other psychiatric disorders. It has been related with thalamus stroke, and seen on clinical practice as a blunted emotional response and indifference.

Objective

We have tried to link cases of apathy associated with thalamic stroke and systematically review the literature for similar case reports.

Methods

We have searched MEDLINE, EMBASE, IBIDS, and the Cochrane Collaboration Database until October 2015. Published case reports of apathy in persons who had suffered a brain stroke were selected.

Results

Support the evidence in the literature of the multidimensional nature of apathy and correlate the psychiatric manifestation with the neurological findings. We find similar case reports that could support the anatomical subtract of the apathy and it's also correlated with the previous data reports.

Conclusions

These findings are discussed and interpreted in the seeking of regarding the neurobiological substrate of apathy.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV1412
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S637
Copyright
Copyright © European Psychiatric Association 2016
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