Cerebral infarction and cerebral vascular sclerosis are often accompanied by a variety of psychiatric symptoms, and some patients are misdiagnosed as “schizophrenia” and other diseases, and are only given psychotropic medication, which delays the treatment of patients, resulting in progressive aggravation of the patient’s condition, affecting intelligence and cognitive decline, and ultimately resulting in dementia in many patients, much to our regret.
Common psychiatric symptoms of cerebral infarction are as follows.
1, delusions.
Elderly patients with cerebral infarction often appear to be stolen (stolen delusions) and may appear to think that their husband (wife) is having an affair (jealous delusions) and therefore have conflicts with their families, making them very tired. It is common in patients with temporal lobe and limbic system damage.
2. Hallucinations.
Common hallucinations of hearing and vision, mostly seen in the twilight time.
3. Anxiety, fear and depression.
Fear of being alone. Sadness and pessimism are more common. Some patients often out of control emotions, memories of past events, crying and fussing, family members very headache.
4, mania.
Often because of trivial matters or for unknown reasons, fussing and fighting, difficult to dissuade.
5, personality disorders.
Stubborn, paranoid, suspicious, sensitive, self-centered, irresponsible to the family, unkempt, disregard for personal hygiene, rude and uncivilized speech, etc.
6.Behavior abnormalities.
Strange movements, difficult to understand, purposeless hiding of rags, not returning from outings, attacking others, hypersexuality, etc.
7.Sleep disorder.
Midnight activities, and monotonous activities. Or half asleep during the day and active at night, etc.
8. Sudden emotional outbursts:
Attacking others, crying and fussing. Often, there is a big cry and rage because of small things.
9.Daytime irritability:
Sleepless nights, colds, fevers, and medication can also induce.
Patients often have a history of hypertension, diabetes mellitus, cerebral infarction, etc. Symptoms may often occur gradually, or suddenly. Symptoms or signs of organic brain damage may be detected upon examination. If psychiatric symptoms persist after a period of cerebrovascular disease medication and related treatment, symptomatic treatment such as antipsychotics or antidepressants can be given, and good results are often obtained.