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Left anterior choroidal artery infarction and uncontrollable crying
N Nagaratnam1, V Wong, D Jeyaratnam
1Department of Medicine, Blacktown Mount Druitt Health, Blacktown, NSW, Australia.
Summary
Uncontrollable crying after a left anterior choroidal artery stroke resolved with fluoxetine treatment. This suggests the affected brain region may play a role in emotional regulation.
Area of Science:
- Neurology
- Neuroscience
- Psychiatry
Background:
- Stroke can lead to a variety of neurological and psychological deficits.
- Emotional dysregulation is a recognized but not fully understood consequence of cerebrovascular events.
Purpose of the Study:
- To describe a case of uncontrollable crying following a specific type of stroke.
- To investigate the potential role of the affected brain region in emotional control.
- To report the therapeutic effect of fluoxetine on this symptom.
Main Methods:
- Case report detailing clinical presentation and neuroimaging findings.
- Observation of patient's response to pharmacological intervention.
Main Results:
- A patient experienced persistent, uncontrollable crying after an infarction in the left anterior choroidal artery territory.
- The crying episodes significantly improved and resolved after treatment with fluoxetine.
Conclusions:
- The left anterior choroidal artery territory may be implicated in the neural circuitry of emotional regulation.
- Selective serotonin reuptake inhibitors like fluoxetine may be effective in managing certain post-stroke emotional disturbances.
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