Psychiatric Quarterly

, Volume 81, Issue 1, pp 73–79 | Cite as

Post Stroke Depression: Treatments and Complications in a Young Adult

  • Vincent F. CapaldiII
  • Gary H. Wynn
Case Report


Post-stroke depression has been noted to be one of the most frequent complications of stroke with an estimated prevalence of as high as 80%. However, the incidence of stroke in the young is extremely low and evidence based therapy for this complication is quite limited. The case of a 28-year-old woman who experienced a basilar artery vasospasmic stroke resulting in anoxic brain injury to the midbrain and paramedian thalamus is presented, along with a literature review of psychiatric complications of this injury to include post-stroke depression (PSD). Therapeutic modalities such as TCAs, SSRIs, atypical antipsychotics and stimulant medications are also reviewed as these medications may aid in the treatment of such patients but may also contribute to psychiatric sequelae.


Post stroke depression Brainstem stroke Migrainous vasospasm TCA SSRI Methylphenidate Aripiprazole Suicidality 


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of PsychiatryWalter Reed Army Medical CenterWashingtonUSA
  2. 2.Uniformed Services University of the Health Sciences F. Edward Hebert School of MedicineBethesdaUSA

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