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Related Experiment Video

Updated: May 11, 2026

Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
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Published on: December 16, 2022

Delayed-onset post-stroke delusional disorder: a case report.

Raíssa B Barboza1, Gabriel R De Freitas, Fernanda Tovar-Moll

  • 1Departamento de Psiquiatria e Medicina Legal and Instituto de Psiquiatria, Programa de Ansiedade e Depressão, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil Departamento de Psiquiatria e Saúde Mental, Universidade Federal Fluminense, Niterói, RJ, Brasil.

Behavioural Neurology
|April 27, 2013
PubMed
Summary

This case report details a rare instance of delayed-onset delusional disorder following a stroke. It highlights that psychotic symptoms can emerge significantly later than the initial cerebrovascular event.

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Published on: May 22, 2019

Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Neuropsychiatric disorders are common after cerebrovascular illness.
  • Post-stroke psychoses are typically acute and transient.
  • Few case reports exist for post-stroke psychotic symptoms.

Observation:

  • A middle-aged female experienced a delayed onset of delusional disorder, persecutory type, approximately one year after a cerebrovascular accident.
  • The patient had a history of chronic post-stroke mixed anxiety and depressive symptoms.

Findings:

  • The case presents a delayed-onset post-stroke delusional disorder with homicidal behavior.
  • The cerebrovascular accident affected the right fronto-temporo-parietal region.

Implications:

  • This case suggests that the interval between a cerebrovascular accident and the onset of psychotic symptoms can be prolonged.
  • Further research is needed to understand the mechanisms and prevalence of delayed-onset post-stroke psychosis.